Coffman, Tracy Michelle
Coffman, Tracy Michelle is an individual health care provider with primary practice located at 1023 Yellowstone Ave Ste J , Pocatello ID 83201-4478. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Coffman, Tracy Michelle can be contacted via phone (208) 233-2444.Contact Information
Primary practice address
1023 Yellowstone Ave Ste J
Pocatello ID 83201-4478
Phone: (208) 233-2444
Fax: (208) 912-0950
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Geriatric | 1835G0303X | P5360 | Idaho |
Profile Details
NPI number | 1043840754 |
---|---|
LBN Legal business name | Coffman, Tracy Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2020 |
Last updated | Jan 22nd, 2020 - about 5 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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