Coleman, Lisa Ann
Coleman, Lisa Ann is an individual health care provider with primary practice located at 225 Physicians Parkway Suite 303, Poplar Bluff MO 63901-3930. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Coleman, Lisa Ann can be contacted via phone (573) 785-6536.Contact Information
Primary practice address
225 Physicians Parkway Suite 303
Poplar Bluff MO 63901-3930
Phone: (573) 785-6536
Fax: (573) 785-0345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1467582312 |
|---|---|
| LBN Legal business name | Coleman, Lisa Ann |
| Credentials | MSW,PLCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jun 8th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467582312 | NPPES |
| Missouri | MEDICAID | 1467582312 |
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