Coleman, Matthew Tynes
Coleman, Matthew Tynes is an individual health care provider with primary practice located at 2539 Viking Dr Ste 101 , Bossier City LA 71111-2165. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Coleman, Matthew Tynes can be contacted via phone (318) 747-8100.Contact Information
Primary practice address
2539 Viking Dr Ste 101
Bossier City LA 71111-2165
Phone: (318) 747-8100
Fax: (318) 747-8150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.A10348 | Louisiana |
Profile Details
| NPI number | 1972685683 |
|---|---|
| LBN Legal business name | Coleman, Matthew Tynes |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Oct 28th, 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.
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