Coffman, Traci

Coffman, Traci is an individual health care provider with primary practice located at 2006 Hogback Rd Suite 5, Ann Arbor MI 48105-9750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Coffman, Traci can be contacted via phone (734) 786-4940.

Contact Information

Primary practice address
2006 Hogback Rd Suite 5 Ann Arbor MI 48105-9750
Phone: (734) 786-4940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301063375 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.137402 Ohio

Profile Details

NPI number 1457399719
LBN Legal business name Coffman, Traci
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 28th, 2019 - about 6 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 1457399719 NPPES
Michigan MEDICAID 104074728

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