SearchIndiana390200000X

Thomas Coleman

NPI 1639616329 · on the registry since 2017 · sole proprietor

Practice

Address
6110 Sapphire Trl
Fort Wayne, IN 46804
Phone
(260) 418-1520

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana