Coleman, Matthew David

Coleman, Matthew David is an individual health care provider with primary practice located at 6930 W Charleston Blvd , Las Vegas NV 89117-1602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine is his primary health care specialty. Coleman, Matthew David can be contacted via phone (702) 304-6515.

Contact Information

Primary practice address
6930 W Charleston Blvd Las Vegas NV 89117-1602
Phone: (702) 304-6515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 12960 Nevada
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 12960 Nevada

Profile Details

NPI number 1215937479
LBN Legal business name Coleman, Matthew David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 4th, 2009 - 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 1215937479 NPPES
Virginia MEDICAID 010139163

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