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Contact Information

JONATHAN M COFER, ARMY PA/65D
2817 ROCK MERRITT AVE
FORT BRAGG, NC28310-0001
 Phone: 910-907-8922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Paramedic

146L00000X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for JONATHAN M COFER · (Male)

NPI Number 1689450496
Status Active
Credentials ARMY PA/65D
Entity Individual
Enumeration date 09/06/2023
Last updated 09/22/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # P539664
  • TX License # 774647
  • TX License # PA18606
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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