Coleman, John Raymond

Coleman, John Raymond is an individual health care provider with primary practice located at 26726 Crown Valley Pkwy Suite 210, Mission Viejo CA 92691-6364. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Coleman, John Raymond can be contacted via phone (949) 364-4361.

Contact Information

Primary practice address
26726 Crown Valley Pkwy Suite 210 Mission Viejo CA 92691-6364
Phone: (949) 364-4361
Fax: (949) 364-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU683 California
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA1691 California

Profile Details

NPI number 1437150190
LBN Legal business name Coleman, John Raymond
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 4th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437150190 NPPES
California Other AU683 STATE AUDIOLOGY LICENSE
California Other AU0006830 STATE AUDIOLOGY LICENSE
California Other HA 1691 STATE AUDIOLOGY LICENSE
California Other AM896Y STATE AUDIOLOGY LICENSE
California Other AM896Z STATE AUDIOLOGY LICENSE
California Other W8109 STATE AUDIOLOGY LICENSE
California Other W15940 STATE AUDIOLOGY LICENSE

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