Coleman, Brandon L
Coleman, Brandon L is an individual health care provider with primary practice located at 1016 Highway 42 , Sumrall MS 39482-9634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coleman, Brandon L can be contacted via phone (601) 758-4214.Contact Information
Primary practice address
1016 Highway 42
Sumrall MS 39482-9634
Phone: (601) 758-4214
Fax: (601) 758-0614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17409 | Mississippi |
Profile Details
| NPI number | 1881685782 |
|---|---|
| LBN Legal business name | Coleman, Brandon L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 19th, 2024 - about 2 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 | 1881685782 | NPPES |
| Mississippi | Other | 2086469 | UNITED HEALTH CARE |
| Mississippi | Other | 7034349 | UNITED HEALTH CARE |
| Mississippi | Other | 71590-B | UNITED HEALTH CARE |
| Mississippi | Other | 1143078 | UNITED HEALTH CARE |
| Mississippi | Other | P00157321 | UNITED HEALTH CARE |
| Mississippi | Other | 405915 | UNITED HEALTH CARE |
| Mississippi | Other | 1043492770 | UNITED HEALTH CARE |
| Mississippi | Other | 8048940P04 | UNITED HEALTH CARE |
| Mississippi | MEDICAID | 00125342 | UNITED HEALTH CARE |
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