Chuck Cris Coleman

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2013600229 Issued in DE

Practice address

34130 Burton Farm Rd
Frankford, DE 19945-2951

Phone

(302) 228-8025

Fax

(302) 380-7700

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1891298212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34130 BURTON FARM RD",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199452951",
            "telephone_number": "302-228-8025",
            "fax_number": "302-380-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34130 BURTON FARM RD",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199452951",
            "telephone_number": "302-228-8025",
            "fax_number": "302-380-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHUCK",
        "middle_name": "CRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "DE",
            "license": "2013600229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanche Aaron, RN
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• Kimberly Crockett Brasure, NP-C
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• Beverly Elaine Cox, MA, CCC-SLP
• Thomas J Craney, PH.D.
• Delmarva Surgical
• Mary Dickerson, CRNP

• Home Modifications Contractor in Frankford, DE
• Providers in Frankford, DE by specialty
• Home Modifications Contractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.