Coleman, Eddie

Coleman, Eddie is an individual health care provider with primary practice located at 1111 W Tokay St , Lodi CA 95240-3965. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Coleman, Eddie can be contacted via phone (925) 999-4119.

Contact Information

Primary practice address
1111 W Tokay St Lodi CA 95240-3965
Phone: (925) 999-4119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1972184182
LBN Legal business name Coleman, Eddie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2021
Last updated Jan 31st, 2024 - about last year

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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