Coffman, Tracy Michelle

Coffman, Tracy Michelle is an individual health care provider with primary practice located at 1023 Yellowstone Ave Ste J , Pocatello ID 83201-4478. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Coffman, Tracy Michelle can be contacted via phone (208) 233-2444.

Contact Information

Primary practice address
1023 Yellowstone Ave Ste J Pocatello ID 83201-4478
Phone: (208) 233-2444
Fax: (208) 912-0950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X P5360 Idaho

Profile Details

NPI number 1043840754
LBN Legal business name Coffman, Tracy Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - 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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