Coffman, Aaron Ross

Coffman, Aaron Ross is an individual health care provider with primary practice located at 63 Hospitality Ln Suite 1, Mineral Wells WV 26150-6704. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Coffman, Aaron Ross can be contacted via phone (304) 489-8100.

Contact Information

Primary practice address
63 Hospitality Ln Suite 1 Mineral Wells WV 26150-6704
Phone: (304) 489-8100
Fax: (304) 489-8191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002865 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 013110 Ohio

Profile Details

NPI number 1750684957
LBN Legal business name Coffman, Aaron Ross
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated May 27th, 2016 - about 9 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 1750684957 NPPES
West Virginia MEDICAID 3810022820
West Virginia MEDICAID 0061220

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