Coon, Joy

Coon, Joy is an individual health care provider with primary practice located at 116 Minnie St , Fairbanks AK 99701-3006. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Coon, Joy can be contacted via phone (907) 456-7760.

Contact Information

Primary practice address
116 Minnie St Fairbanks AK 99701-3006
Fax: (907) 451-7916
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 272 Alaska

Profile Details

NPI number 1669666905
LBN Legal business name Coon, Joy
Credentials O.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Feb 16th, 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 1669666905 NPPES
Alaska MEDICAID OP4810

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