DR. RONALD DUANE COFFEN


Address: 1045 E Front St Ste B4, Buchanan, MI 49107-8474
Phone: 2694713491

DR. RONALD DUANE COFFEN (NPI# 1346219508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346219508
Entity Type Individual
Full Name DR. RONALD DUANE COFFEN
Credential PH.D.
Practice Address 1045 E Front St Ste B4
Buchanan
MI 49107-8474
Mailing Address 4195 Administration Dr
Berrien Springs
MI 49104-0001
Practice Telephone 2694713491
Practice Fax Number 2694713491
Mailing Telephone 2694713491
Mailing Fax Number 2694713491
Enumeration Date 2006-03-17
Last Update Date 2011-03-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 6301012485 MI Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
6301012485 MI Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
6301012485 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1045 E FRONT ST STE B4
City BUCHANAN
State MI
Zip Code 49107-8474

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447453188 Ronald C Carr Dentist 802 East Front St, Ste 5, Buchanan, MI 49107 2007-06-08
1669696464 Barbara A Starke Registered Nurse 804 E Front Street, Buchanan, MI 49107 2007-04-12
1558338368 Respiratory Home Care & Convalescent Supply Inc Durable Medical Equipment & Medical Supplies 320 N Redbud Trail, Buchanan, MI 49107 2006-03-01
1255827382 Kari Mitchell-coplen Physical Therapy Assistant 500 E 3rd St, Buchanan, MI 49107 2018-07-01
1790294064 Red Bud Health Services LLC Physical Therapist 500 E 3rd St, Buchanan, MI 49107 2017-09-29
1457743486 Audrey Lynn Carrier Family Medicine 1045 E Front St, Buchanan, MI 49107 2015-02-27
1740801653 Sharon M Bradley Nursing Care 324 N Detroit St, Buchanan, MI 49107-1204 2020-05-01
1235526260 Into His Rest Ministries Social Worker 102 Elizabeth St, Buchanan, MI 49107-1327 2015-04-16
1851443956 Drs Steven and Brenda Smoke Od PC Optometrist 400 E Front St, Suite A, Buchanan, MI 49107-1403 2007-01-17
1306998919 Brenda Dani Smoke Optometrist 400 E Front St Ste A, Buchanan, MI 49107-1403 2007-01-17
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1467965418 Jeffrey William Thompson Psychologist 167 Leota Blvd, Waterford, MI 48327-3631 2017-11-13
1578074621 Joshua Dale Brewer Psychologist 206 W Michigan Ave, Oscoda, MI 48750-1413 2017-10-17
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Competitor

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City BUCHANAN
Zip Code 49107

Improve Information

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Dataset Information

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.

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