Arnold, Coleman L

Arnold, Coleman L is an individual health care provider with primary practice located at 2108 E 3Rd St Suite 200, Chattanooga TN 37404-2600. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Arnold, Coleman L can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd St Suite 200 Chattanooga TN 37404-2600
Fax: (423) 493-2371
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD7767 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 7767 Tennessee

Profile Details

NPI number 1629062260
LBN Legal business name Arnold, Coleman L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 11th, 2015 - about 9 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 1629062260 NPPES
Other 020039036 RR MEDICARE
Other 3076748 RR MEDICARE
Other 2585653 001 RR MEDICARE
Other 1740002 RR MEDICARE
MEDICAID 3163573 RR MEDICARE

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