Coleman, Gregory

Coleman, Gregory is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Coleman, Gregory can be contacted via phone (651) 777-5222.

Contact Information

Primary practice address
7066 Stillwater Blvd N Oakdale MN 55128-3937
Fax: (651) 251-5111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2932 Minnesota

Profile Details

NPI number 1588677371
LBN Legal business name Coleman, Gregory
Credentials M.A., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1588677371 NPPES
Minnesota Other 9H535CO BCBS
Minnesota Other 19468 BCBS
Minnesota Other 1011513 BCBS
Minnesota Other 114038 BCBS
Minnesota Other 62-00090 BCBS

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