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
Phone: (757) 953-7550
Fax: (757) 953-7560
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962585968 | NPPES |
Alabama | MEDICAID | 009994025 | |
Alabama | MEDICAID | 009993995 |
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