CLIFFORD LOREN COLEMAN M.D. NPI 1053492710

NPI Information

  • NPI: 1053492710
  • Provider Name: CLIFFORD LOREN COLEMAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1155 CEDAR CT
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 549-3388

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NPI Details

Clifford Loren Coleman, M.D. is a specialist in Carbondale, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Clifford Loren Coleman, M.D. NPI is 1053492710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1155 CEDAR CT
CARBONDALE, IL
ZIP 62901-333
Phone: (618) 549-3388
Fax: (618) 549-3380

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036060385ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036060385MEDICAIDILLINOIS
2654350MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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