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NPI Code Detail

MEDICARE: BRIDGETTE COLEMAN

MEDICARE: BRIDGETTE COLEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency3116265OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376082164
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGETTE COLEMAN
Provider Business Mailing Address
First Line : 6848 TARAWA DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-1100
Country : US
Telephone Number : 513-238-1939
Fax Number :
Provider Business Practice Location Address
First Line : 6848 TARAWA DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-1100
Country : US
Telephone Number : 513-238-1939
Fax Number :
Authorized Official
Title or Position : INDEPENDENT PROVIDER
Name : BRIDGETTE COLEMAN
Credential :
Telephone Number : 513-238-1939
Provider Enumeration Date : 02/14/2017
Last Update Date : 02/14/2017

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Directions to “BRIDGETTE COLEMAN ” Practice Location

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