Coleman, Casey Ray
Coleman, Casey Ray is an individual health care provider with primary practice located at 1619 E 5Th St , Superior WI 54880-3432. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Coleman, Casey Ray can be contacted via phone (715) 718-2163.Contact Information
Primary practice address
1619 E 5Th St
Superior WI 54880-3432
Phone: (715) 718-2163
Fax: (715) 718-2163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 213068 | Wisconsin |
Profile Details
| NPI number | 1477139467 |
|---|---|
| LBN Legal business name | Coleman, Casey Ray |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2021 |
| Last updated | Mar 22nd, 2021 - about 4 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.
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