Coleman, Laurel M

Coleman, Laurel M is an individual health care provider with primary practice located at 66 Bramhall St , Portland ME 04102-3344. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Coleman, Laurel M can be contacted via phone (207) 662-3157.

Contact Information

Primary practice address
66 Bramhall St Portland ME 04102-3344
Phone: (207) 662-3157
Fax: (207) 662-4257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G69789 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 013843 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013843 Maine

Profile Details

NPI number 1376504878
LBN Legal business name Coleman, Laurel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Sep 24th, 2019 - about 5 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 1376504878 NPPES
Maine MEDICAID 337580099

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