Coffman, Edwin L.

Coffman, Edwin L. is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901-4921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Coffman, Edwin L. can be contacted via phone (479) 441-5362.

Contact Information

Primary practice address
1001 Towson Ave Fort Smith AR 72901-4921
Phone: (479) 441-5362
Fax: (479) 441-4868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C2686 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X C2686 Arkansas

Profile Details

NPI number 1366440380
LBN Legal business name Coffman, Edwin L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 2nd, 2008 - 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 1366440380 NPPES
Oklahoma MEDICAID 100078260A
Oklahoma MEDICAID 105564001
Oklahoma Other 51096

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