Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35-07-6827 | OH |
Y | 111NI0900X | Internist | 35-07-6827 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35076827 | OH |
N | 208000000X | Pediatrician | 35-07-6827 | OH |
NPI | 1538137492 |
---|---|
Provider Name | Dr. Rachael Annette Coleman |
First Address | Cincinnati, OH 45240-0183 |
Second Address | Cincinnati, OH 45219-2103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 09/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2326790 | (05) | OH |
64052509 | (05) | KY |
H65567 | (02) |