Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-076346 | OH |
NPI | 1316963135 |
---|---|
Provider Name | Michael D. Coffey |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 27/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000204722 | UNISON (01) | OH |
000000503579 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
1010331610001 | (05) | PA |
1316963135 | (05) | MI |
2303831 | (05) | OH |
363432 | WELLCARE (01) | OH |
7308348 | AETNA (01) | OH |
732284 | BUCKEYE (01) | OH |
H28864 | (02) | |
P00358782 | RAILROAD MEDICARE (01) | OH |
Q76346 | (05) | OH |