Coffman, Cornelea B
Coffman, Cornelea B is an sole proprietor health care provider with primary practice located at 2545 N Eldorado , Klamath Falls OR 97601-6423. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coffman, Cornelea B can be contacted via phone (541) 883-3471.Contact Information
Primary practice address
2545 N Eldorado
Klamath Falls OR 97601-6423
Phone: (541) 883-3471
Fax: (541) 883-3524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L5911 | Oregon |
Profile Details
| NPI number | 1649573502 |
|---|---|
| LBN Legal business name | Coffman, Cornelea B |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2010 |
| Last updated | Apr 9th, 2016 - about 8 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 | 1649573502 | NPPES |
| Oregon | MEDICAID | 090450 |
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