Coffin, Suzanne C
Coffin, Suzanne C is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 208, Traverse City MI 49684-7331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Coffin, Suzanne C can be contacted via phone (231) 935-9060.Contact Information
Primary practice address
4100 Park Forest Dr Suite 208
Traverse City MI 49684-7331
Phone: (231) 935-9060
Fax: (231) 935-9045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601003399 | Michigan |
Profile Details
| NPI number | 1164598835 |
|---|---|
| LBN Legal business name | Coffin, Suzanne C |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Aug 29th, 2008 - about 16 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 | 1164598835 | NPPES |
| Michigan | Other | OB81010 | BCBSM |
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