Coffman, Michael Eric

Coffman, Michael Eric is an individual health care provider with primary practice located at 448 Leonard Ave , Fairmont WV 26554-3843. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coffman, Michael Eric can be contacted via phone (304) 366-7174.

Contact Information

Primary practice address
448 Leonard Ave Fairmont WV 26554-3843
Phone: (304) 366-7174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X BP00943419 West Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 06-111 West Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 112279 West Virginia

Profile Details

NPI number 1366654139
LBN Legal business name Coffman, Michael Eric
Credentials MSW, LGSW, CAC,ICADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 13th, 2009 - about 16 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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