Coleman, John B

Coleman, John B is an individual health care provider with primary practice located at K-14 Cardiothoracic Surgery 2799 W Grand Blvd , Detroit MI 48202-3450. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Coleman, John B can be contacted via phone (313) 850-8815.

Contact Information

Primary practice address
K-14 Cardiothoracic Surgery 2799 W Grand Blvd Detroit MI 48202-3450
Phone: (313) 850-8815
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004268 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004268 Michigan

Profile Details

NPI number 1437278330
LBN Legal business name Coleman, John B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Oct 24th, 2023 - about 2 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 1437278330 NPPES
Michigan Other 5601004268 PHYSICIAN ASSISTANT LICENSE
Michigan Other 1063053 PHYSICIAN ASSISTANT LICENSE

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