Coleman, Brandi
Coleman, Brandi is an individual health care provider with primary practice located at 833 Highway 90 , Bay St Louis MS 39520-1601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coleman, Brandi can be contacted via phone (228) 396-3141.Contact Information
Primary practice address
833 Highway 90
Bay St Louis MS 39520-1601
Phone: (228) 396-3141
Fax: (601) 496-8100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17720 | Mississippi |
Profile Details
NPI number | 1942241922 |
---|---|
LBN Legal business name | Coleman, Brandi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Apr 4th, 2018 - about 7 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 | 1942241922 | NPPES |
Mississippi | MEDICAID | 00125851 |
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