Coleman, Amanda Michelle
Coleman, Amanda Michelle is an sole proprietor health care provider with primary practice located at 2712 Wakefield Dr Apt H , Jonesboro AR 72404-7793. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Coleman, Amanda Michelle can be contacted via phone (870) 926-5749.Contact Information
Primary practice address
2712 Wakefield Dr Apt H
Jonesboro AR 72404-7793
Phone: (870) 926-5749
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 993239 | Arkansas |
Profile Details
NPI number | 1306993423 |
---|---|
LBN Legal business name | Coleman, Amanda Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306993423 | NPPES |
Arkansas | Other | 993239 | NATA MEMBER |
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