Lyle Charles Coleman, D.C., DIBCN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1245 Issued in MN

Practice address

207 W Holly St
Owatonna, MN 55060-3959

Phone

(507) 451-1654

Fax

(507) 451-1655

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Health Service PA

  • Chiropractor
  • Owatonna, MN
  • NPI 1487759684
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1083719561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HOLLY ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603959",
            "telephone_number": "507-451-1654",
            "fax_number": "507-451-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HOLLY ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603959",
            "telephone_number": "507-451-1654",
            "fax_number": "507-451-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LYLE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C., DIBCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905225900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL PROVIDER NUMBER",
            "identifier": "138401300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coborns Inc (Cash Wise Pharmacy)
• Mark James Cochran, DC,ND
• Nicole Cockram, LICSW
• Dawn Cohen, DC
• Lori A Cole, D.C.
• Deanna Leigh Collins, PMHNP-BC
• Kayla Marie Cook, PA-C
• David Alphonso Cooper
• Corey Schuler DC PLLC
• County of Steele (Steele County Public Health Nursing Service)

• Neurology Chiropractor in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Neurology Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.