Coulter, Phyllis Joan
Coulter, Phyllis Joan is an individual health care provider with primary practice located at 318 W Washington St , Bloomington IL 61701-3875. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coulter, Phyllis Joan can be contacted via phone (309) 827-4014.Contact Information
Primary practice address
318 W Washington St
Bloomington IL 61701-3875
Phone: (309) 827-4014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | Illinois |
Profile Details
| NPI number | 1972674026 |
|---|---|
| LBN Legal business name | Coulter, Phyllis Joan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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