Coleman, Jacob Charles

Coleman, Jacob Charles is an individual health care provider with primary practice located at 6060 Piedmont Row Dr S Fl 6 , Charlotte NC 28287-3884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Coleman, Jacob Charles can be contacted via phone (704) 489-3094.

Contact Information

Primary practice address
6060 Piedmont Row Dr S Fl 6 Charlotte NC 28287-3884
Phone: (704) 489-3094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2009-00032 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 86868 South Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 2009-00032 North Carolina

Profile Details

NPI number 1649455353
LBN Legal business name Coleman, Jacob Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Oct 24th, 2023 - about 3 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 1649455353 NPPES
South Carolina MEDICAID Q0003H
South Carolina MEDICAID 1649455353
South Carolina MEDICAID 5911622

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