Coffman, Suzanne S

Coffman, Suzanne S is an individual health care provider with primary practice located at 1322 Locust Ave , Fairmont WV 26554. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Coffman, Suzanne S can be contacted via phone (304) 367-8740.

Contact Information

Primary practice address
1322 Locust Ave Fairmont WV 26554
Phone: (304) 367-8740
Fax: (304) 366-9529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 133 West Virginia

Profile Details

NPI number 1376646430
LBN Legal business name Coffman, Suzanne S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Sep 10th, 2012 - about 13 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 1376646430 NPPES
West Virginia Other 001718501 BLUE CROSS BLUE SHIELD
West Virginia Other 55041919103 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 0156077001 BLUE CROSS BLUE SHIELD

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