TED E COFFMAN (NPI# 1164506473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164506473 |
| Entity Type | Individual |
| Full Name | TED E COFFMAN |
| Credential | D.C. |
| Practice Address |
18471 E Queen Creek Rd Ste 102 Queen Creek AZ 85242-3628 |
| Practice Telephone | 4809887488 |
| Mailing Telephone | 4809887488 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 853 | AZ | Chiropractic Providers |
| Street Address |
18471 E QUEEN CREEK RD STE 102 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649504341 | Optimal Living LLC | Chiropractor | 18471 E Queen Creek Rd Ste 102, Queen Creek, AZ 85142-3628 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323389 | Spinewise LLC | Chiropractor | 18407 E Cattle Dr, Queen Creek, AZ 85142-5175 | 2017-08-25 |
| 1811427396 | Erica Louise Hargrave | Chiropractor | 22719 S Ellsworth Rd Ste 104, Queen Creek, AZ 85142-6128 | 2017-06-15 |
| 1922542133 | D & P Medical Consulting LLC | Chiropractor | 21321 E Ocotillo Rd Ste 121, Queen Creek, AZ 85142-5994 | 2016-12-06 |
| 1306396601 | Qc Medical Group LLC | Chiropractor | 21323 S Ellsworth Loop Rd, # 101, Queen Creek, AZ 85142-9864 | 2016-10-11 |
| 1881087567 | Chirotrendz LLC | Chiropractor | 18610 E Rittenhouse Rd Ste A101, Queen Creek, AZ 85142-4503 | 2015-03-05 |
| 1477971711 | Jason Derek Mcdonald | Chiropractor | 22711 S Ellsworth Rd # G106, Queen Creek, AZ 85142-6788 | 2014-04-03 |
| 1588005136 | Tyler John Bradshaw | Chiropractor | 21321 E Ocotillo Rd Ste 125, Queen Creek, AZ 85142-5995 | 2013-07-11 |
| 1205271103 | James Burt Ward | Chiropractor | 85 W Pasture Canyon Dr, Queen Creek, AZ 85143-6232 | 2013-05-06 |
| 1093954893 | Brett Baker | Chiropractor | 20851e Rittenhouse Rd E103, Queen Creek, AZ 85142-4493 | 2009-02-18 |
| 1215194360 | Chris M Robinson | Chiropractor | 21321 E Ocotillo Rd Ste K125, Queen Creek, AZ 85242-7593 | 2008-05-16 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on TED E COFFMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.