Coffey, Charles D.
Coffey, Charles D. is an sole proprietor health care provider with primary practice located at 12205 County Line Rd Ste B , Madison AL 35758-7720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coffey, Charles D. can be contacted via phone (256) 325-6722.Contact Information
Primary practice address
12205 County Line Rd Ste B
Madison AL 35758-7720
Phone: (256) 325-6722
Fax: (256) 325-6724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12858 | Alabama |
Profile Details
| NPI number | 1093701849 |
|---|---|
| LBN Legal business name | Coffey, Charles D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | May 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093701849 | NPPES |
| Alabama | MEDICAID | 000018203 |
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