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Contact Information

ELIZABETH T COFFMAN, PA-C
12 EAGLE CHASE CT
HENDERSON, NV89052-6470
 Phone: 989-573-0936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH T COFFMAN · (Female)

NPI Number 1083125017
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/17/2017
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5601010553
  • MI License # 6802089761
  • NV License # PA2844
  • NV Medicaid PA2844
  • NV Other PA2844 PHYSICIAN ASSISTANT LICENSE
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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