Coleman, Kanesha Elayne
Coleman, Kanesha Elayne is an individual health care provider with primary practice located at 930 N Patterson Ave , Winston Salem NC 27101-1546. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Coleman, Kanesha Elayne can be contacted via phone (336) 722-9951.Contact Information
Primary practice address
930 N Patterson Ave
Winston Salem NC 27101-1546
Phone: (336) 722-9951
Fax: (336) 722-5834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2029 | North Carolina |
Profile Details
| NPI number | 1386779825 |
|---|---|
| LBN Legal business name | Coleman, Kanesha Elayne |
| Credentials | LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | May 15th, 2012 - about 12 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 | 1386779825 | NPPES |
| North Carolina | Other | 2029 | NCSAPPB |
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