Coomer, Nichole Shiree

Coomer, Nichole Shiree is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Coomer, Nichole Shiree can be contacted via phone (765) 674-4455.

Contact Information

Primary practice address
4411 S Adams St Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05008703A Indiana

Profile Details

NPI number 1285751149
LBN Legal business name Coomer, Nichole Shiree
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Sep 8th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285751149 NPPES
Indiana Other 000000385497 ANTHEM PROVIDER NUMBER
Indiana Other 05008703A ANTHEM PROVIDER NUMBER

Popular Providers