Individual
LINDA COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4483 DANFORTH RD, COLUMBUS, OH 43224-1104
(614) 314-5000
Mailing address
4483 DANFORTH RD, COLUMBUS, OH 43224-1104
(614) 314-5000
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2571042
—
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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