Coffman, Stacy
Coffman, Stacy is an individual health care provider with primary practice located at 788 Cherry Tree Ct , Hanover PA 17331-7901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Coffman, Stacy can be contacted via phone (717) 632-5552.Contact Information
Primary practice address
788 Cherry Tree Ct
Hanover PA 17331-7901
Phone: (717) 632-5552
Fax: (717) 632-2315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1578892832 |
---|---|
LBN Legal business name | Coffman, Stacy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2009 |
Last updated | Dec 16th, 2009 - about 15 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 | 1578892832 | NPPES |
Pennsylvania | Other | 1957642 | MEDICARE |
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