Individual
SEAN MICHAEL COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1103, MORGANTOWN, WV 26505-1143
(304) 285-2835
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2968
WV
363AM0700X
Medical Physician Assistant
MA059501
PA
363AS0400X
Surgical Physician Assistant
50.005832RX
OH
363AS0400X
Surgical Physician Assistant
MA059501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103387435
—
PA
01
—
14133623
CAQH
—
Enumeration date
08/31/2017
Last updated
02/03/2025
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