Coleman, James Regis

Coleman, James Regis is an individual health care provider with primary practice located at 6125 S Broadway , Lorain OH 44053-3820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Coleman, James Regis can be contacted via phone (440) 233-8181.

Contact Information

Primary practice address
6125 S Broadway Lorain OH 44053-3820
Fax: (440) 233-8182
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35081094C Ohio

Profile Details

NPI number 1104822352
LBN Legal business name Coleman, James Regis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 13th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822352 NPPES
Ohio Other P00929248 MEDICARE RR
Ohio MEDICAID 2332381 MEDICARE RR

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