Bryan, Coleman J

Bryan, Coleman J is an individual health care provider with primary practice located at 554 Keily Street , Jacksonville FL 32212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Bryan, Coleman J can be contacted via phone (757) 953-7550.

Contact Information

Primary practice address
554 Keily Street Jacksonville FL 32212
Fax: (757) 953-7560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 0101254561 Virginia

Profile Details

NPI number 1962585968
LBN Legal business name Bryan, Coleman J
Credentials M.D., MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 11th, 2017 - about 8 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 1962585968 NPPES
Alabama MEDICAID 009994025
Alabama MEDICAID 009993995

Popular Providers