Coleman, John

Coleman, John is an individual health care provider with primary practice located at Worcester Co. Health Dept. - Berlin Health Center 9730 Healthway Drive, Berlin MD 21811. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Coleman, John can be contacted via phone (410) 629-0164.

Contact Information

Primary practice address
Worcester Co. Health Dept. - Berlin Health Center 9730 Healthway Drive Berlin MD 21811
Fax: (410) 629-0185
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Maryland

Profile Details

NPI number 1932341310
LBN Legal business name Coleman, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Mar 31st, 2009 - about 16 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 1932341310 NPPES
Maryland MEDICAID 705371101

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