Coleman, Jacob Charles
Coleman, Jacob Charles is an individual health care provider with primary practice located at 6060 Piedmont Row Dr S Fl 6 , Charlotte NC 28287-3884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Coleman, Jacob Charles can be contacted via phone (704) 489-3094.Contact Information
Primary practice address
6060 Piedmont Row Dr S Fl 6
Charlotte NC 28287-3884
Phone: (704) 489-3094
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009-00032 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 86868 | South Carolina |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 2009-00032 | North Carolina |
Profile Details
NPI number | 1649455353 |
---|---|
LBN Legal business name | Coleman, Jacob Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2008 |
Last updated | Oct 24th, 2023 - about 2 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 | 1649455353 | NPPES |
South Carolina | MEDICAID | Q0003H | |
South Carolina | MEDICAID | 1649455353 | |
South Carolina | MEDICAID | 5911622 |
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