Coffman, Edwin L.
Coffman, Edwin L. is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901-4921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Coffman, Edwin L. can be contacted via phone (479) 441-5362.Contact Information
Primary practice address
1001 Towson Ave
Fort Smith AR 72901-4921
Phone: (479) 441-5362
Fax: (479) 441-4868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C2686 | Arkansas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C2686 | Arkansas |
Profile Details
| NPI number | 1366440380 |
|---|---|
| LBN Legal business name | Coffman, Edwin L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Oct 2nd, 2008 - about 18 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 | 1366440380 | NPPES |
| Oklahoma | MEDICAID | 100078260A | |
| Oklahoma | MEDICAID | 105564001 | |
| Oklahoma | Other | 51096 |
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