Coffman, Thomas J

Coffman, Thomas J is an sole proprietor health care provider with primary practice located at 125 E Idaho St Ste 100 , Boise ID 83712-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Coffman, Thomas J can be contacted via phone (208) 338-0148.

Contact Information

Primary practice address
125 E Idaho St Ste 100 Boise ID 83712-6202
Phone: (208) 338-0148
Fax: (208) 336-4027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X M5628 Idaho

Profile Details

NPI number 1245224823
LBN Legal business name Coffman, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Nov 30th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245224823 NPPES
Idaho Other 56283 BLUE CROSS OF IDAHO
Idaho MEDICAID 000476900 BLUE CROSS OF IDAHO
Idaho Other 000010000054 BLUE CROSS OF IDAHO

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