Johnny Keith Coleman in Fortuna - Primary Care
Johnny Keith Coleman - NPI 1174558845
Johnny Keith Coleman is a Primary Care in Fortuna, California. Johnny Keith Coleman practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Johnny Keith Coleman is 1174558845. The last update date is 2015-06-30.
Johnny Keith Coleman's current location address is 3302 Renner Dr, Fortuna, California. You can contact this provider via phone number 7077253318 and fax number 7077259396. The mailing address for Johnny Keith Coleman is 3302 Renner Dr, Fortuna, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Keith Coleman |
|---|---|
| Address | 3302 Renner Dr, Fortuna, California |
| Phone Number | 7077253318 |
| Fax Number | 7077259396 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1174558845 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
| Address | 3302 Renner Dr |
|---|---|
| City | Fortuna |
| State | California (CA) |
| Post Code | 955403120 |
| Phone Number | 7077253318 |
| Fax Number | 7077259396 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | PA13661 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Johnny Keith Coleman by the Centers for Medicare & Medicaid Services?
The Johnny Keith Coleman has been assigned the NPI (National Provider Identifier) 1174558845. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Johnny Keith Coleman's facilities are geographically located?
The facilities of Johnny Keith Coleman are physically situated at the following location: 3302 Renner Dr, Fortuna, CA, 955403120.
What is the area of specialization for Johnny Keith Coleman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Johnny Keith Coleman is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp2300X.
When did the Johnny Keith Coleman receive its 1174558845?
The Johnny Keith Coleman was issued its 1174558845 on 2006-07-11, which is the date when the organization was assigned this unique identifier.
As of what date were the Johnny Keith Coleman's details last updated?
The information pertaining to the Johnny Keith Coleman, including its address, specialty, and other details, was most recently updated on 2015-06-30.
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