Coleman, Walter Barry

Coleman, Walter Barry is an individual health care provider with primary practice located at 9001 15 Mile Rd Ste A, Sterling Heights MI 48312-3611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Coleman, Walter Barry can be contacted via phone (586) 979-0560.

Contact Information

Primary practice address
9001 15 Mile Rd Ste A Sterling Heights MI 48312-3611
Phone: (586) 979-0560
Fax: (586) 979-8766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000563 Michigan

Profile Details

NPI number 1407831308
LBN Legal business name Coleman, Walter Barry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 20th, 2007 - about 19 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 1407831308 NPPES
Michigan Other 55051630 BCBS
Michigan MEDICAID 1002476 BCBS
Michigan Other 0621950001 BCBS

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