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
Fax: (360) 457-6215
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417001280 NPPES
Washington MEDICAID 5048269

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