Coleman, Johnny Keith
Coleman, Johnny Keith is an individual health care provider with primary practice located at 3302 Renner Dr , Fortuna CA 95540-7103. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Coleman, Johnny Keith can be contacted via phone (707) 725-3318.Contact Information
Primary practice address
3302 Renner Dr
Fortuna CA 95540-7103
Phone: (707) 725-3318
Fax: (707) 725-9396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | PA13661 | California |
Profile Details
| NPI number | 1174558845 |
|---|---|
| LBN Legal business name | Coleman, Johnny Keith |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 30th, 2015 - about 9 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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