Coleman, Robert Michael

Coleman, Robert Michael is an individual health care provider with primary practice located at 2356 Grove Street , Vicksburg MS 39183. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Coleman, Robert Michael can be contacted via phone (601) 638-8230.

Contact Information

Primary practice address
2356 Grove Street Vicksburg MS 39183
Phone: (601) 638-8230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1641-74 Mississippi

Profile Details

NPI number 1871714477
LBN Legal business name Coleman, Robert Michael
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1871714477 NPPES
Mississippi MEDICAID 00660424
Mississippi Other 1641-74
Mississippi Other OR-003-76

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