Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35035513 | OH |
NPI | 1245244631 |
---|---|
Provider Name | Thomas Hewitt Coleman |
First Address | Columbus, OH 43214-3911 |
Second Address | Columbus, OH 43214-3911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 22/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0478915 | (05) | OH |
A80123 | (02) |