Individual
DR. SUZANNE ALICE COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
689 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 975-1994
(434) 975-1988
Mailing address
689 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 975-1994
(434) 975-1988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000667
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049562
ANTHEM GROUP
—
01
—
049563
ANTHEM PROVIDER
—
01
—
54-149-3132
FEDERAL TAX ID
—
Enumeration date
07/27/2005
Last updated
01/22/2013
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