Coleman, Shane M
Coleman, Shane M is an individual health care provider with primary practice located at 2600 Ne Neff Rd , Bend OR 97701-6337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Coleman, Shane M can be contacted via phone (541) 706-4800.Contact Information
Primary practice address
2600 Ne Neff Rd
Bend OR 97701-6337
Phone: (541) 706-4800
Fax: (541) 706-4806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7728 | Alaska |
Profile Details
| NPI number | 1083819692 |
|---|---|
| LBN Legal business name | Coleman, Shane M |
| Credentials | M.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083819692 | NPPES |
| Massachusetts | Other | 246201 | MEDICAL LICENSE |
| Massachusetts | MEDICAID | 1083819 | MEDICAL LICENSE |
| Massachusetts | Other | 232258 | MEDICAL LICENSE |
| Massachusetts | Other | 6810 | MEDICAL LICENSE |
| Massachusetts | Other | MD60212882 | MEDICAL LICENSE |
| Massachusetts | Other | 7728 | MEDICAL LICENSE |
| Massachusetts | Other | MD00372 | MEDICAL LICENSE |
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