Coleman, Audrey Becker

Coleman, Audrey Becker is an individual health care provider with primary practice located at 2100 A1A S , St Augustine FL 32080-6615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Coleman, Audrey Becker can be contacted via phone (904) 605-3553.

Contact Information

Primary practice address
2100 A1A S St Augustine FL 32080-6615
Phone: (904) 605-3553
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285181289
LBN Legal business name Coleman, Audrey Becker
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Nov 24th, 2024 - about 2 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 1285181289 NPPES
Tennessee MEDICAID Q025828
Tennessee Other 6089376

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