Coleman, Jennifer King

Coleman, Jennifer King is an individual health care provider with primary practice located at 1717 Shipyard Blvd Suite 210, Wilmington NC 28403-8019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coleman, Jennifer King can be contacted via phone (910) 392-7877.

Contact Information

Primary practice address
1717 Shipyard Blvd Suite 210 Wilmington NC 28403-8019
Phone: (910) 392-7877
Fax: (910) 392-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2808 North Carolina

Profile Details

NPI number 1255314720
LBN Legal business name Coleman, Jennifer King
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255314720 NPPES
North Carolina MEDICAID 6000297

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