Coffey, John David
Coffey, John David is an sole proprietor health care provider with primary practice located at 844 Main St Ste 204 , Louisville CO 80027-1806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Coffey, John David can be contacted via phone (914) 844-1162.Contact Information
Primary practice address
844 Main St Ste 204
Louisville CO 80027-1806
Phone: (914) 844-1162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW.0009921122 | Colorado |
Profile Details
| NPI number | 1649777368 |
|---|---|
| LBN Legal business name | Coffey, John David |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2018 |
| Last updated | Aug 19th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649777368 | NPPES |
| Colorado | MEDICAID | 9000162820 |
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