Coleman, Alfred

Coleman, Alfred is an individual health care provider with primary practice located at 1644 Alum Rock Ave , San Jose CA 95116-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Coleman, Alfred can be contacted via phone (408) 347-1680.

Contact Information

Primary practice address
1644 Alum Rock Ave San Jose CA 95116-2429
Fax: (408) 347-1681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X PA10187 California

Profile Details

NPI number 1720171598
LBN Legal business name Coleman, Alfred
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1720171598 NPPES
California Other PA10187 PHYSICIAN ASSISTANT LICEN

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