Coalson, Antoinette Sue

Coalson, Antoinette Sue is an individual health care provider with primary practice located at 500 Arcade Ave Ste 210 , Elkhart IN 46514-2485. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Coalson, Antoinette Sue can be contacted via phone (574) 389-5656.

Contact Information

Primary practice address
500 Arcade Ave Ste 210 Elkhart IN 46514-2485
Phone: (574) 389-5656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004495A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004495A Indiana

Profile Details

NPI number 1922448182
LBN Legal business name Coalson, Antoinette Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated May 1st, 2023 - 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 1922448182 NPPES
Indiana MEDICAID 201190320

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