Coleman, Jeffrey

Coleman, Jeffrey is an individual health care provider with primary practice located at 111 Davis Stuart Road , Ronceverte WV 24970. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coleman, Jeffrey can be contacted via phone (304) 647-3987.

Contact Information

Primary practice address
111 Davis Stuart Road Ronceverte WV 24970
Fax: (304) 647-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1508945130
LBN Legal business name Coleman, Jeffrey
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 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 1508945130 NPPES
West Virginia MEDICAID 3810004658

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