Coleman, Amy Ball
Coleman, Amy Ball is an individual health care provider with primary practice located at 1203 24Th Ave , Meridian MS 39301-3926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Coleman, Amy Ball can be contacted via phone (601) 485-1015.Contact Information
Primary practice address
1203 24Th Ave
Meridian MS 39301-3926
Phone: (601) 485-1015
Fax: (601) 693-9314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 14939 | Mississippi |
Profile Details
| NPI number | 1770512303 |
|---|---|
| LBN Legal business name | Coleman, Amy Ball |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 6th, 2011 - about 13 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 | 1770512303 | NPPES |
| Mississippi | MEDICAID | 00121946 | |
| Mississippi | Other | 512G700091 |
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