Coggin, Roy Lee

Coggin, Roy Lee is an sole proprietor health care provider with primary practice located at 3708 N Main St. , Farmville NC 27828-1434. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist is his primary health care specialty. Coggin, Roy Lee can be contacted via phone (252) 753-2092.

Contact Information

Primary practice address
3708 N Main St. Farmville NC 27828-1434
Phone: (252) 753-2092
Fax: (252) 753-2499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1164628806
LBN Legal business name Coggin, Roy Lee
Credentials CPED,COF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Nov 15th, 2012 - about 12 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 1164628806 NPPES
North Carolina MEDICAID 7795254
North Carolina MEDICAID 7795300

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