Coggin, Roy Lee
Coggin, Roy Lee is an sole proprietor health care provider with primary practice located at 3708 N Main St. , Farmville NC 27828-1434. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist is his primary health care specialty. Coggin, Roy Lee can be contacted via phone (252) 753-2092.Contact Information
Primary practice address
3708 N Main St.
Farmville NC 27828-1434
Phone: (252) 753-2092
Fax: (252) 753-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | North Carolina | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X |
Profile Details
| NPI number | 1164628806 |
|---|---|
| LBN Legal business name | Coggin, Roy Lee |
| Credentials | CPED,COF |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Nov 15th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164628806 | NPPES |
| North Carolina | MEDICAID | 7795254 | |
| North Carolina | MEDICAID | 7795300 |
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