Coleman, Dwight Randolph
Coleman, Dwight Randolph is an individual health care provider with primary practice located at 2600 Marble Ave Ne , Albuquerque NM 87106-2058. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Coleman, Dwight Randolph can be contacted via phone (505) 272-2190.Contact Information
Primary practice address
2600 Marble Ave Ne
Albuquerque NM 87106-2058
Phone: (505) 272-2190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico |
Profile Details
| NPI number | 1275870206 |
|---|---|
| LBN Legal business name | Coleman, Dwight Randolph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2013 |
| Last updated | Jan 29th, 2016 - about 10 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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