Coleman, Colleen Linda

Coleman, Colleen Linda is an sole proprietor health care provider with primary practice located at 510 Superior Ave Suite 200-G, Newport Beach CA 92663-3663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Coleman, Colleen Linda can be contacted via phone (949) 791-6767.

Contact Information

Primary practice address
510 Superior Ave Suite 200-G Newport Beach CA 92663-3663
Phone: (949) 791-6767
Fax: (949) 791-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G080909 California

Profile Details

NPI number 1982647517
LBN Legal business name Coleman, Colleen Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Apr 16th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982647517 NPPES
California Other 10946255 CAQH PROVIDER ID

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