Coleman, Gary Michael
Coleman, Gary Michael is an individual health care provider with primary practice located at 1350 Medical Park Dr , Maysville KY 41056-9615. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coleman, Gary Michael can be contacted via phone (606) 759-5437.Contact Information
Primary practice address
1350 Medical Park Dr
Maysville KY 41056-9615
Phone: (606) 759-5437
Fax: (606) 759-9267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35075 | Kentucky |
Profile Details
| NPI number | 1124125224 |
|---|---|
| LBN Legal business name | Coleman, Gary Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 18th, 2020 - about 5 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 | 1124125224 | NPPES |
| Kentucky | MEDICAID | 64357056 |
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