Individual
MR. DANIEL VICTOR COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
806 N 4TH ST, GREENFIELD, OH 45123-1012
(937) 981-0656
Mailing address
806 N 4TH ST, GREENFIELD, OH 45123-1012
(937) 981-0656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN037569
OH
302R00000X
Health Maintenance Organization
PN037569
OH
372600000X
Adult Companion
PN037569
OH
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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