Coleman, Landon Wayne

Coleman, Landon Wayne is an individual health care provider with primary practice located at 8Th Avenue & C Street , Salt Lake City UT 84143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Coleman, Landon Wayne can be contacted via phone (801) 408-1784.

Contact Information

Primary practice address
8Th Avenue & C Street Salt Lake City UT 84143-0001
Phone: (801) 408-1784
Fax: (801) 408-5196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 364205-1205 Utah

Profile Details

NPI number 1275592479
LBN Legal business name Coleman, Landon Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 3rd, 2008 - about 16 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 1275592479 NPPES
Utah MEDICAID 870326048001D5088
Utah Other 36420512000001

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