Paul Allen Coleman, PA-C

Individual provider Active NPI Physician Assistant · Hutchinson, MN

NPI 1831152289 · NPPES record last updated Jul 22, 2011

Key facts

NPI
1831152289
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
9900 (MN)
Practice address
1095 Highway 15 S
Hutchinson, MN 55350-5000
Phone
(320) 484-4400
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9900MNMDPhysical Therapist
514NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthservicesone, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9900 MN Yes

Addresses

Primary practice location

1095 Highway 15 S
Hutchinson, MN 55350-5000

Mailing address

1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600

Other identifiers

IdentifierTypeStateIssuer
882257300MedicaidMN

Other providers in Hutchinson, MN

All providers in Hutchinson, MN · Physician Assistant in Minnesota

Sources for this page

Verify at the official NPI Registry.