Coleman, Mary

Coleman, Mary is an sole proprietor health care provider with primary practice located at 5005 Main St Tacoma, Tacoma WA 98407-3168. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Coleman, Mary can be contacted via phone (925) 360-3102.

Contact Information

Primary practice address
5005 Main St Tacoma Tacoma WA 98407-3168
Phone: (925) 360-3102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60459088 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G72907 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD60459088 Washington
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X MD60459088 Washington
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X G072907 California

Profile Details

NPI number 1093743619
LBN Legal business name Coleman, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jun 25th, 2025 - about last year

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 1093743619 NPPES
California MEDICAID 00G729070

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