Coffman, Larry J

Coffman, Larry J is an sole proprietor health care provider with primary practice located at 36 Ne 52Nd St , Oklahoma City OK 73105-1826. He recently has only one registered license in Nursing Service Providers / Administrator, which is considered as his primary health care specialty. Coffman, Larry J can be contacted via phone (405) 456-6858.

Contact Information

Primary practice address
36 Ne 52Nd St Oklahoma City OK 73105-1826
Fax: (405) 456-6900
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 26797 Oklahoma

Profile Details

NPI number 1508291055
LBN Legal business name Coffman, Larry J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2013
Last updated Jun 25th, 2021 - about 3 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 1508291055 NPPES
Other 37-7697 CMS

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