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Contact Information

JARED COFFMAN, MD
1721 MAGNAVOX WAY
FORT WAYNE, IN46804-1537
 Phone: 260-748-3650
 Fax: 260-569-2305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JARED COFFMAN · (Male)

NPI # 1053579151
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2008
Last updated 07/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01065791A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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