Coker, Clarine I

Coker, Clarine I is an individual health care provider with primary practice located at 201 Ridge St Suite 201, Council Bluffs IA 51503-4643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Coker, Clarine I can be contacted via phone (712) 322-5899.

Contact Information

Primary practice address
201 Ridge St Suite 201 Council Bluffs IA 51503-4643
Fax: (712) 322-5730
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23346 Iowa

Profile Details

NPI number 1720078637
LBN Legal business name Coker, Clarine I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 9th, 2011 - about 13 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 1720078637 NPPES
Iowa MEDICAID 3200352

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