Coomer, Nichole Shiree
Coomer, Nichole Shiree is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Coomer, Nichole Shiree can be contacted via phone (765) 674-4455.Contact Information
Primary practice address
4411 S Adams St
Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05008703A | Indiana |
Profile Details
| NPI number | 1285751149 |
|---|---|
| LBN Legal business name | Coomer, Nichole Shiree |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Sep 8th, 2020 - about 4 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 | 1285751149 | NPPES |
| Indiana | Other | 000000385497 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 05008703A | ANTHEM PROVIDER NUMBER |
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