Coker, Troy Dale
Coker, Troy Dale is an sole proprietor health care provider with primary practice located at 432 Wall St , Jeffersonville IN 47130-3428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coker, Troy Dale can be contacted via phone (812) 283-7492.Contact Information
Primary practice address
432 Wall St
Jeffersonville IN 47130-3428
Phone: (812) 283-7492
Fax: (812) 283-7599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002957B | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1408DT | Kentucky |
Profile Details
| NPI number | 1376545038 |
|---|---|
| LBN Legal business name | Coker, Troy Dale |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376545038 | NPPES |
| Indiana | MEDICAID | 200196340A | |
| Indiana | Other | 203722741 |
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