Coleman, Robert Earl

Coleman, Robert Earl is an sole proprietor health care provider with primary practice located at 65-5E Steinel Way 4Th, Apo AP 96632. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Coleman, Robert Earl can be contacted via phone (510) 260-3984.

Contact Information

Primary practice address
65-5E Steinel Way 4Th Apo AP 96632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1770274789
LBN Legal business name Coleman, Robert Earl
Credentials HOS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2023
Last updated May 19th, 2023 - about 2 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 1770274789 NPPES
California Other A13554762 MEDI-CAL

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