Coleman, Mary
Coleman, Mary is an individual health care provider with primary practice located at 5005 Main St Tacoma, Tacoma WA 98407-3168. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Coleman, Mary can be contacted via phone (925) 360-3102.Contact Information
Primary practice address
5005 Main St Tacoma
Tacoma WA 98407-3168
Phone: (925) 360-3102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G72907 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60459088 | Washington |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | G072907 | California |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD60459088 | Washington |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | MD60459088 | Washington |
Profile Details
| NPI number | 1093743619 |
|---|---|
| LBN Legal business name | Coleman, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 13th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093743619 | NPPES |
| California | MEDICAID | 00G729070 |
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