Coleman, Lyle Charles

Coleman, Lyle Charles is an sole proprietor health care provider with primary practice located at 207 W Holly St , Owatonna MN 55060-3959. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Coleman, Lyle Charles can be contacted via phone (507) 451-1654.

Contact Information

Primary practice address
207 W Holly St Owatonna MN 55060-3959
Phone: (507) 451-1654
Fax: (507) 451-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 1245 Minnesota

Profile Details

NPI number 1083719561
LBN Legal business name Coleman, Lyle Charles
Credentials D.C., DIBCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Nov 10th, 2015 - about 9 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 1083719561 NPPES
Minnesota MEDICAID 905225900
Minnesota Other 138401300

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