Coffey, Jeri Jannine
Coffey, Jeri Jannine is an sole proprietor health care provider with primary practice located at 24 Woodside Rd , Riverside IL 60546-2494. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Coffey, Jeri Jannine can be contacted via phone (708) 442-0115.Contact Information
Primary practice address
24 Woodside Rd
Riverside IL 60546-2494
Phone: (708) 442-0115
Fax: (708) 442-8192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19-17602 | Illinois |
Profile Details
| NPI number | 1619020583 |
|---|---|
| LBN Legal business name | Coffey, Jeri Jannine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1619020583 | NPPES |
| Illinois | Other | 19-17602 | STATE OF IL PROVIDER LISC |
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