Coleman, Gerald S
Coleman, Gerald S is an sole proprietor health care provider with primary practice located at 2302 S Union Ave Suite B-10, Tacoma WA 98405-1300. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coleman, Gerald S can be contacted via phone (253) 752-9303.Contact Information
Primary practice address
2302 S Union Ave Suite B-10
Tacoma WA 98405-1300
Phone: (253) 752-9303
Fax: (253) 756-7175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT00000920 | Washington |
Profile Details
| NPI number | 1902806862 |
|---|---|
| LBN Legal business name | Coleman, Gerald S |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Aug 31st, 2010 - about 14 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 | 1902806862 | NPPES |
| Washington | Other | 97699 | L&I PROVIDER NUMBER |
| Washington | MEDICAID | 7011869 | L&I PROVIDER NUMBER |
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