Coffini, Chris J

Coffini, Chris J is an individual health care provider with primary practice located at 1192 Dogwood Dr Se , Conyers GA 30012-5454. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coffini, Chris J can be contacted via phone (770) 860-1919.

Contact Information

Primary practice address
1192 Dogwood Dr Se Conyers GA 30012-5454
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2780 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X OPT003569 Georgia

Profile Details

NPI number 1003866682
LBN Legal business name Coffini, Chris J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 1st, 2024 - about 2 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 1003866682 NPPES
Wisconsin MEDICAID 38608100

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