Coffman, Alex
Coffman, Alex is an sole proprietor health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Coffman, Alex can be contacted via phone (920) 884-3135.Contact Information
Primary practice address
1726 Shawano Ave
Green Bay WI 54303-3216
Phone: (920) 884-3135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 75577-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 153028 | California |
Profile Details
| NPI number | 1871045690 |
|---|---|
| LBN Legal business name | Coffman, Alex |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Dec 22nd, 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.
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