Coffin, Paul Douglas
Coffin, Paul Douglas is an sole proprietor health care provider with primary practice located at 3450 S Lakeport St Suite B, Sioux City IA 51106-4509. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Coffin, Paul Douglas can be contacted via phone (712) 255-5048.Contact Information
Primary practice address
3450 S Lakeport St Suite B
Sioux City IA 51106-4509
Phone: (712) 255-5048
Fax: (712) 255-5263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 362 | Iowa |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 275 | Nebraska |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 99 | South Dakota |
Profile Details
| NPI number | 1336133966 |
|---|---|
| LBN Legal business name | Coffin, Paul Douglas |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Nov 19th, 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 | 1336133966 | NPPES |
| Iowa | MEDICAID | 1184655 |
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