Coleman, Amanda Elyse

Coleman, Amanda Elyse is an individual health care provider with primary practice located at 40 Pleasant St , Concord NH 03301-4006. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Coleman, Amanda Elyse can be contacted via phone (844) 743-5748.

Contact Information

Primary practice address
40 Pleasant St Concord NH 03301-4006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0905 New Hampshire

Profile Details

NPI number 1326353921
LBN Legal business name Coleman, Amanda Elyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Dec 30th, 2021 - about 5 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 1326353921 NPPES
New Hampshire MEDICAID 1326353921

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