Coleman, Robert M
Coleman, Robert M is an individual health care provider with primary practice located at 3053 W State St , Bristol TN 37620-1720. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Coleman, Robert M can be contacted via phone (423) 968-1144.Contact Information
Primary practice address
3053 W State St
Bristol TN 37620-1720
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 13515 | Mississippi |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13515 | Mississippi |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 47198 | Tennessee |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 47198 | Tennessee |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 13515 | Mississippi |
Profile Details
NPI number | 1225079759 |
---|---|
LBN Legal business name | Coleman, Robert M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | May 29th, 2024 - about 4 months 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 | 1225079759 | NPPES |
Virginia | MEDICAID | 30016543010001 | |
Virginia | MEDICAID | 1525730 | |
Virginia | MEDICAID | 00114726 |
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