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Contact Information

JEAN C CORONADO, BA
508 NEW HOPE RD STE 208
PRINCETON, WV24740-2271
 Phone: 304-887-4799
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JEAN C CORONADO · (Male)

NPI # 1518612332
Status Active
Credentials BA
Entity Individual
Enumeration date 02/21/2022
Last updated 02/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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