Matthew Coleman, SFIDC
Individual provider Active NPI Independent Duty Corpsman · Gulfport, MS
NPI 1770907412 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1770907412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- NBHC Naval Construction Battalion Center Gulfport
5501 Marvin Shields Blvd
Gulfport, MS 39501 - Phone
- (228) 871-2810
- NPI assigned
- Feb 18, 2014
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
NBHC Naval Construction Battalion Center Gulfport
5501 Marvin Shields Blvd
Gulfport, MS 39501
Mailing address
18378 Cardinal LN
Gulfport, MS 39503-5594
Other providers in Gulfport, MS
- Triheria Cole
- Brittany Nicole Coleman
- Christopher Coleman
- Elizabeth Crosby Coleman
- Marjane Coleman
- Darrell Bernard Colliers
- Dinecha Collins
- Traci Hydrick Collinsworth
- Comfort Care Transport LLC
- Community Rehab of Greenville Inc
All providers in Gulfport, MS · Independent Duty Corpsman in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. 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.