Coonrod, Amelia

Coonrod, Amelia is an sole proprietor health care provider with primary practice located at 94 White Dr , Columbus NC 28722. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coonrod, Amelia can be contacted via phone (828) 894-2290.

Contact Information

Primary practice address
94 White Dr Columbus NC 28722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P010689 North Carolina

Profile Details

NPI number 1659827202
LBN Legal business name Coonrod, Amelia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 9 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 1659827202 NPPES
North Carolina MEDICAID P010689

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