1063748556 NPI number — MR. RICHARD LYNN COFFINBARGER MS, LSW

Table of content: DR. DOMINIC F. HOMAN M.D. (NPI 1982665980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063748556 NPI number — MR. RICHARD LYNN COFFINBARGER MS, LSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COFFINBARGER
Provider First Name:
RICHARD
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS, LSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063748556
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 BUTLER AVE
Provider Second Line Business Mailing Address:
6A-148
Provider Business Mailing Address City Name:
MARTINSBURG
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25405-9990
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-263-0811
Provider Business Mailing Address Fax Number:
304-264-3989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
510 BUTLER AVE
Provider Second Line Business Practice Location Address:
6A-148
Provider Business Practice Location Address City Name:
MARTINSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25405-9990
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-263-0811
Provider Business Practice Location Address Fax Number:
304-264-3989
Provider Enumeration Date:
10/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  AP00942948 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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