Koffron, Alan Joseph

Koffron, Alan Joseph is an individual health care provider with primary practice located at 2108 E 3Rd St Ste 200 , Chattanooga TN 37404-2624. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Koffron, Alan Joseph can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd St Ste 200 Chattanooga TN 37404-2624
Phone: (423) 267-0466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 61833 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036090432 Illinois
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 61833 Tennessee

Profile Details

NPI number 1124056726
LBN Legal business name Koffron, Alan Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 3rd, 2020 - about 5 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 1124056726 NPPES
Illinois MEDICAID 036090432

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