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Contact Information

SUZANNE S COFFMAN, PT
1322 LOCUST AVE
FAIRMONT, WV26554
 Phone: 304-367-8740
 Fax: 304-366-9529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SUZANNE S COFFMAN · (Female)

NPI # 1376646430
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/06/2006
Last updated 09/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 133
  • WV Medicaid 0156077001
  • WV Other 001718501 BLUE CROSS BLUE SHIELD
  • WV Other 55041919103 BRICKSTREET
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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