Coleman, Shellene

Coleman, Shellene is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coleman, Shellene can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5177 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002670 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006754A Indiana

Profile Details

NPI number 1659551224
LBN Legal business name Coleman, Shellene
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Mar 4th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659551224 NPPES
Indiana Other 000001067905 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201409770 ANTHEM PROVIDER NUMBER

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