Coffman, Jared
Coffman, Jared is an individual health care provider with primary practice located at 1721 Magnavox Way , Fort Wayne IN 46804-1537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Coffman, Jared can be contacted via phone (260) 748-3650.Contact Information
Primary practice address
1721 Magnavox Way
Fort Wayne IN 46804-1537
Phone: (260) 748-3650
Fax: (260) 569-2305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01065791A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01065791A | Indiana |
Profile Details
| NPI number | 1053579151 |
|---|---|
| LBN Legal business name | Coffman, Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | Jul 28th, 2022 - about 3 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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