Coomes, Theresa A
Coomes, Theresa A is an sole proprietor health care provider with primary practice located at 161A Marine St , St Augustine FL 32084-5154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Coomes, Theresa A can be contacted via phone (904) 806-5273.Contact Information
Primary practice address
161A Marine St
St Augustine FL 32084-5154
Phone: (904) 806-5273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 715622 | Florida |
Profile Details
| NPI number | 1629129762 |
|---|---|
| LBN Legal business name | Coomes, Theresa A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 7th, 2011 - about 14 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 | 1629129762 | NPPES |
| Florida | MEDICAID | 303938100 |
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