Coffey, Shaun

Coffey, Shaun is an sole proprietor health care provider with primary practice located at 440 Amherst St , Nashua NH 03063-1225. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Coffey, Shaun can be contacted via phone (603) 889-6147.

Contact Information

Primary practice address
440 Amherst St Nashua NH 03063-1225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0131 New Hampshire

Profile Details

NPI number 1427610419
LBN Legal business name Coffey, Shaun
Credentials CRSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2019
Last updated Jul 13th, 2022 - about 3 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 1427610419 NPPES
New Hampshire MEDICAID 0131

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