Clifford Loren Coleman in Carbondale - Specialist
Clifford Loren Coleman - NPI 1053492710
Clifford Loren Coleman is a Specialist in Carbondale, Illinois. Clifford Loren Coleman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clifford Loren Coleman is 1053492710. The last update date is 2010-10-01.
Clifford Loren Coleman's current location address is 1155 Cedar Ct, Carbondale, Illinois. You can contact this provider via phone number 6185493388 and fax number 6185493380. The mailing address for Clifford Loren Coleman is 1155 Cedar Ct, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Loren Coleman |
|---|---|
| Address | 1155 Cedar Ct, Carbondale, Illinois |
| Phone Number | 6185493388 |
| Fax Number | 6185493380 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053492710 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2010-10-01 |
Provider Mailing Address Detail
| Address | 1155 Cedar Ct |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629015333 |
| Phone Number | 6185493388 |
| Fax Number | 6185493380 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36060385 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36060385 | IL | -- |
Post Comment/ Review Below
What is the Clifford Loren Coleman's 1053492710?
The Clifford Loren Coleman's NPI (National Provider Identifier) Number is 1053492710. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Clifford Loren Coleman's physical address?
The Clifford Loren Coleman is physically located at 1155 Cedar Ct, in the city of Carbondale, IL, with the postal code 629015333.
What is the area of specialization for Clifford Loren Coleman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clifford Loren Coleman is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Clifford Loren Coleman's 1053492710 issued?
The Clifford Loren Coleman's 1053492710 was issued on 2006-10-18.
When was the Clifford Loren Coleman's information last updated?
The Clifford Loren Coleman's information was last updated on 2010-10-01.