Coffee, Shaina Elizabeth
Coffee, Shaina Elizabeth is an individual health care provider with primary practice located at 905 E 3Rd St , Grove OK 74344-7949. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Coffee, Shaina Elizabeth can be contacted via phone (191) 878-7210.Contact Information
Primary practice address
905 E 3Rd St
Grove OK 74344-7949
Phone: (191) 878-7210
Fax: (191) 870-7210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1598016412 |
|---|---|
| LBN Legal business name | Coffee, Shaina Elizabeth |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2012 |
| Last updated | Oct 2nd, 2012 - about 14 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 | 1598016412 | NPPES |
| Oklahoma | MEDICAID | 100732380E |
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