Jeffrey Coleman, MPT
Individual provider Active NPI Specialist · Ronceverte, WV
NPI 1508945130 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508945130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 111 Davis Stuart Road
Ronceverte, WV 24970 - Phone
- (304) 647-3987
- Fax
- (304) 647-3990
- NPI assigned
- Nov 3, 2006
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
111 Davis Stuart Road
Ronceverte, WV 24970
Mailing address
111 Davis Stuart Road
Ronceverte, WV 24970
Phone (304) 647-3987
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004658 | Medicaid | WV |
Other providers in Ronceverte, WV
- Jo Ann Chestnut
- Christopher J Rodebaugh, DDS Inc
- Ralph A Church
- Heather Marie Clawges
- Jessica Cochran
- Misty Rose Comer
- Amanda Cornwell
- Lee Ann Cox
- Jessica Lee Crane
- Debra R Crites-Sams
All providers in Ronceverte, WV · Specialist 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 Jul 8, 2007. 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.