1073960241 NPI number — DR. AARON DANIEL COLEMAN MD

Table of content: NANCY P MITCHELL (NPI 1871849901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073960241 NPI number — DR. AARON DANIEL COLEMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLEMAN
Provider First Name:
AARON
Provider Middle Name:
DANIEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073960241
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-4537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-539-0457
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2006 FRANKLIN ST SE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-4537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-539-0457
Provider Business Practice Location Address Fax Number:
256-539-5827
Provider Enumeration Date:
05/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  64714 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 36496 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 285455 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 284537 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 285294 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 288688 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 285733 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 286557 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 284536 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 288788 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 289560 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 285793 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 285799 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 286047 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 286439 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 287380 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 287651 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 284298 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 285186 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 286094 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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