Coffey, Michael Matthew
Coffey, Michael Matthew is an sole proprietor health care provider with primary practice located at 616 E Front St , Port Angeles WA 98362-3320. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Coffey, Michael Matthew can be contacted via phone (360) 457-6131.Contact Information
Primary practice address
616 E Front St
Port Angeles WA 98362-3320
Phone: (360) 457-6131
Fax: (360) 457-6215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000399 | Washington |
Profile Details
| NPI number | 1417001280 |
|---|---|
| LBN Legal business name | Coffey, Michael Matthew |
| Credentials | L.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417001280 | NPPES |
| Washington | MEDICAID | 5048269 |
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