Coker, Ernest Ebun
Coker, Ernest Ebun is an individual health care provider with primary practice located at 601A Professional Drive Suite 180, Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coker, Ernest Ebun can be contacted via phone (770) 822-4120.Contact Information
Primary practice address
601A Professional Drive Suite 180
Lawrenceville GA 30046
Phone: (770) 822-4120
Fax: (770) 822-2830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040349 | Georgia |
Profile Details
| NPI number | 1063483550 |
|---|---|
| LBN Legal business name | Coker, Ernest Ebun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Oct 1st, 2014 - about 10 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 | 1063483550 | NPPES |
| Georgia | Other | 52727251 | BLUE CROSS BLUE SHIELD |
| Georgia | MEDICAID | 000740671D | BLUE CROSS BLUE SHIELD |
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