Coleman, Darron

Coleman, Darron is an sole proprietor health care provider with primary practice located at 110 S 5Th Ave , Maywood IL 60153-1308. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Coleman, Darron can be contacted via phone (708) 338-3446.

Contact Information

Primary practice address
110 S 5Th Ave Maywood IL 60153-1308
Phone: (708) 338-3446
Fax: (708) 343-7032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038007496 Illinois

Profile Details

NPI number 1649363904
LBN Legal business name Coleman, Darron
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Feb 2nd, 2024 - about 9 months 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 1649363904 NPPES
Illinois Other 01623158 BLUECROSS AND BLUESHIELD
Illinois MEDICAID 038007496 BLUECROSS AND BLUESHIELD

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