Coleman, David Eugene
Coleman, David Eugene is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has 4 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Coleman, David Eugene can be contacted via phone (920) 223-4410.Contact Information
Primary practice address
1855 S Koeller St
Oshkosh WI 54902-6186
Phone: (920) 223-4410
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | Wisconsin | |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25223-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25223-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25223 | Wisconsin |
Profile Details
NPI number | 1639170301 |
---|---|
LBN Legal business name | Coleman, David Eugene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2005 |
Last updated | Jan 5th, 2017 - 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 | 1639170301 | NPPES |
Wisconsin | MEDICAID | 30527900 |
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