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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9900 | MN | MD | Physical Therapist |
| 514 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthservicesone, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882257300 | Medicaid | MN |
Other providers in Hutchinson, MN
- Owen Gary Christianson
- James R Christopherson
- Christina Louise Cipolle
- Zoe Inez Citrowske Lee
- Coborns Inc
- Joshua Robert Collett
- Combat Mental Health 2 LLC
- Complete Assessments LLC
- Connectcare
- Connectcare
All providers in Hutchinson, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2011. 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.