Hall, Juawana Coleman
Hall, Juawana Coleman is an individual health care provider with primary practice located at 2341 Winterhaven Ln , Winston Salem NC 27103-6792. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hall, Juawana Coleman can be contacted via phone (336) 760-2020.Contact Information
Primary practice address
2341 Winterhaven Ln
Winston Salem NC 27103-6792
Phone: (336) 760-2020
Fax: (336) 310-0010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2000 | North Carolina |
Profile Details
| NPI number | 1659359537 |
|---|---|
| LBN Legal business name | Hall, Juawana Coleman |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659359537 | NPPES |
| North Carolina | MEDICAID | 5902677 |
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