Healthcare Provider Details

I. General information

NPI: 1851349880
Provider Name (Legal Business Name): NEAL E COLEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/20/2021
Certification Date: 03/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 N BRIARWOOD LN
MUNCIE IN
47304-5211
US

IV. Provider business mailing address

3570 N BRIARWOOD LN
MUNCIE IN
47304-5211
US

V. Phone/Fax

Practice location:
  • Phone: 765-281-3443
  • Fax:
Mailing address:
  • Phone: 765-281-3443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01036843
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: