Coleman, Andrew Clark
Coleman, Andrew Clark is an individual health care provider with primary practice located at 305 Tyson Ave , Paris TN 38242-4579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coleman, Andrew Clark can be contacted via phone (731) 642-0025.Contact Information
Primary practice address
305 Tyson Ave
Paris TN 38242-4579
Phone: (731) 642-0025
Fax: (731) 644-0899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0000027837 | Tennessee |
Profile Details
| NPI number | 1770565459 |
|---|---|
| LBN Legal business name | Coleman, Andrew Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jan 22nd, 2013 - about 12 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 | 1770565459 | NPPES |
| Other | 110204548 | RAILROAD MEDICARE | |
| MEDICAID | 3835883 | RAILROAD MEDICARE |
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