Coleman, Justine Anne
Coleman, Justine Anne is an sole proprietor health care provider with primary practice located at 2807 Wilmington Rd , New Castle PA 16105-1263. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Coleman, Justine Anne can be contacted via phone (724) 656-3486.Contact Information
Primary practice address
2807 Wilmington Rd
New Castle PA 16105-1263
Phone: (724) 656-3486
Fax: (724) 598-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH071654 | Pennsylvania |
Profile Details
| NPI number | 1760974117 |
|---|---|
| LBN Legal business name | Coleman, Justine Anne |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2018 |
| Last updated | Aug 16th, 2019 - about 6 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 | 1760974117 | NPPES |
| Pennsylvania | MEDICAID | 1034997540001 | |
| Pennsylvania | MEDICAID | 1034997540002 |
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