Coffman, Janet Moore
Coffman, Janet Moore is an sole proprietor health care provider with primary practice located at 231 W Main St Suite 2-W, Carbondale IL 62901-2948. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Coffman, Janet Moore can be contacted via phone (618) 967-4037.Contact Information
Primary practice address
231 W Main St Suite 2-W
Carbondale IL 62901-2948
Phone: (618) 967-4037
Fax: (618) 529-4675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Indiana |
Profile Details
| NPI number | 1700911120 |
|---|---|
| LBN Legal business name | Coffman, Janet Moore |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1700911120 | NPPES |
| Illinois | Other | 2186100 | BLUE CROSS BLUE SHIELD |
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