Coleman, Marjorie
Coleman, Marjorie is an sole proprietor health care provider with primary practice located at 4807 E Canary Grass Dr , Tucson AZ 85756-5265. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Contractor. Other Service Providers / Contractor is her primary health care specialty. Coleman, Marjorie can be contacted via phone (520) 236-9023.Contact Information
Primary practice address
4807 E Canary Grass Dr
Tucson AZ 85756-5265
Phone: (520) 236-9023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1336266485 |
|---|---|
| LBN Legal business name | Coleman, Marjorie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Dec 20th, 2022 - about 3 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 | 1336266485 | NPPES |
| Arizona | Other | BH7968 | LICENSE |
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