Coffman, Wendy J.

Coffman, Wendy J. is an individual health care provider with primary practice located at 19200 N Kelsey St , Monroe WA 98272-1431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Coffman, Wendy J. can be contacted via phone (360) 794-7994.

Contact Information

Primary practice address
19200 N Kelsey St Monroe WA 98272-1431
Fax: (360) 805-4755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035503 Washington

Profile Details

NPI number 1750482865
LBN Legal business name Coffman, Wendy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 3rd, 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 1750482865 NPPES
Washington MEDICAID 8212037

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