Coleman, Randy
Coleman, Randy is an individual health care provider with primary practice located at 2612 Wyoming St , Saint Louis MO 63118-2402. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Coleman, Randy can be contacted via phone (314) 588-7111.Contact Information
Primary practice address
2612 Wyoming St
Saint Louis MO 63118-2402
Phone: (314) 588-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1922545318 |
|---|---|
| LBN Legal business name | Coleman, Randy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2017 |
| Last updated | Jan 24th, 2017 - about 8 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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