Mark A Coffman in Russellville - Professional
Mark A Coffman - NPI 1780775288
Mark A Coffman is a Professional in Russellville, Arkansas. Mark A Coffman practices all healthcare services and medical treatments related to Professional. The NPI Number for Mark A Coffman is 1780775288. The last update date is 2020-05-01.
Mark A Coffman's current location address is 110 Skyline Dr, Russellville, Arkansas. You can contact this provider via phone number 4799681298 and fax number 4799686053. The mailing address for Mark A Coffman is 110 Skyline Dr, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Coffman |
|---|---|
| Address | 110 Skyline Dr, Russellville, Arkansas |
| Phone Number | 4799681298 |
| Fax Number | 4799686053 |
| Sole Proprietor | N |
| Credentials | LPC, LADAC |
NPI Number Detail
| NPI Number | 1780775288 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
| Address | 110 Skyline Dr |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728013362 |
| Phone Number | 4799681298 |
| Fax Number | 4799686053 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | P0505033 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227466719 | AR | -- | |
| 453054130 | AR | AMBETTER IRS# 453054130 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark A Coffman?
The Mark A Coffman has been issued the NPI (National Provider Identifier) 1780775288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark A Coffman's facilities are geographically located?
The facilities of Mark A Coffman are physically situated at the following location: 110 Skyline Dr, Russellville, AR, 728013362.
What is Mark A Coffman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark A Coffman is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Mark A Coffman receive its 1780775288 assignment from the Centers for Medicare & Medicaid Services?
The Mark A Coffman was assigned its 1780775288 by the Centers for Medicare & Medicaid Services on 2006-09-27.
When was the information regarding Mark A Coffman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark A Coffman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-05-01.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT