Coleman, Ted

Coleman, Ted is an individual health care provider with primary practice located at 11102 Sunrise Blvd E Suite 103, Puyallup WA 98374. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Coleman, Ted can be contacted via phone (253) 848-8797.

Contact Information

Primary practice address
11102 Sunrise Blvd E Suite 103 Puyallup WA 98374
Phone: (253) 848-8797
Fax: (253) 845-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301046463 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60597143 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60597143 Washington

Profile Details

NPI number 1285612879
LBN Legal business name Coleman, Ted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 13th, 2016 - about 10 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 1285612879 NPPES
Other 11273896 CAQH
MEDICAID 1285612879 CAQH

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