Marcus Steven Coleman
Individual provider Active NPI Personal Care Attendant · Logan, WV
NPI 1285232736 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1285232736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 197 Wood Ave
Logan, WV 25601-3344 - Phone
- (304) 752-3133
- NPI assigned
- Oct 15, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
197 Wood Ave
Logan, WV 25601-3344
Mailing address
197 Wood Ave
Logan, WV 25601-3344
Phone (304) 752-3133
Other providers in Logan, WV
- Skyler Reed Clemons
- Bethony Jill Click
- Sidney Jerome Cline
- Tabatha Cline
- Martin L. Codispoti
- Wendy Coleman
- Heather Villa Colley
- Ashlee Ann Collier
- Angela Collins
- Evie Collins
All providers in Logan, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.