Jeffersonville Family Practice

LBN: Coleman Institute- Indiana Peter Richard Coleman Sole Mbr
Jeffersonville Family Practice is an health care organization with primary practice located at 1035 Wall St Suite 204, Jeffersonville IN 47130-3612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Coleman Institute- Indiana Peter Richard Coleman Sole Mbr can be contacted via phone (812) 288-8410, or through Shields, Steven F via phone (804) 282-9133.

Contact Information

Primary practice address
1035 Wall St Suite 204 Jeffersonville IN 47130-3612
Fax: (812) 288-8409
Website:
Authorized official contact:
Name: Shields, Steven F

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001067A Indiana

Profile Details

NPI number 1235450867
LBN Legal business name Coleman Institute- Indiana Peter Richard Coleman Sole Mbr
DBA Doing business as Jeffersonville Family Practice
Authorized official Shields, Steven F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2010
Last updated Oct 7th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235450867 NPPES
Indiana MEDICAID 1437214731

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