James Clinton Coffidis in Whiteman Air Force B - Clinical

James Clinton Coffidis - NPI 1467430546

James Clinton Coffidis is a Clinical in Whiteman Air Force B, Missouri. James Clinton Coffidis practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Clinton Coffidis is 1467430546. The last update date is 2018-03-29.

James Clinton Coffidis's current location address is 331 Sijan Ave, Whiteman Air Force B, Missouri. You can contact this provider via phone number 6606874341 and fax number 6606875256. The mailing address for James Clinton Coffidis is 331 Sijan Ave, Whiteman Air Force B, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name James Clinton Coffidis
Address 331 Sijan Ave, Whiteman Air Force B, Missouri
Phone Number 6606874341
Fax Number 6606875256
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1467430546
Provider Enumeration Date 2006-01-09
Last Updated Date 2018-03-29

Provider Mailing Address Detail

Address 331 Sijan Ave
City Whiteman Air Force B
State Missouri (MO)
Post Code 653051269
Phone Number 6606874341
Fax Number 6606875256

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2013014939
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200023710A OK --
709414000 OK BLUE CROSS BLU SHIELD

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FAQs about James Clinton Coffidis

What is the unique identifier code issued to James Clinton Coffidis by the Centers for Medicare & Medicaid Services (CMS)?

The James Clinton Coffidis has been assigned the NPI (National Provider Identifier) 1467430546. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where James Clinton Coffidis's facilities are situated?

The facilities of James Clinton Coffidis are physically located at the following address: 331 Sijan Ave, Whiteman Air Force B, MO, 653051269.

What is James Clinton Coffidis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James Clinton Coffidis is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the James Clinton Coffidis receive the assignment of its 1467430546 from the Centers for Medicare & Medicaid Services?

The James Clinton Coffidis was issued its 1467430546 by the Centers for Medicare & Medicaid Services on 2006-01-09.

As of what date was the information regarding James Clinton Coffidis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James Clinton Coffidis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-29.

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