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
Phone: (405) 456-6858
Fax: (405) 456-6900
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508291055 | NPPES |
Other | 37-7697 | CMS |
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