Coleman, Robert M

Coleman, Robert M is an individual health care provider with primary practice located at 3053 W State St , Bristol TN 37620-1720. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Coleman, Robert M can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
3053 W State St Bristol TN 37620-1720
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13515 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13515 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47198 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 47198 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 13515 Mississippi

Profile Details

NPI number 1225079759
LBN Legal business name Coleman, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 29th, 2024 - 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 1225079759 NPPES
Virginia MEDICAID 30016543010001
Virginia MEDICAID 1525730
Virginia MEDICAID 00114726

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