Coffman, Jared

Coffman, Jared is an individual health care provider with primary practice located at 763 Revere St , Bourbonnais IL 60914-4563. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coffman, Jared can be contacted via phone (815) 549-0981.

Contact Information

Primary practice address
763 Revere St Bourbonnais IL 60914-4563
Phone: (815) 549-0981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1174297071
LBN Legal business name Coffman, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 4th, 2021 - about 4 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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