Provider Demographics
NPI:1316388093
Name:COLEMAN, ALEX BARRY I (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:BARRY
Last Name:COLEMAN
Suffix:I
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N 12TH ST # 101
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1905
Mailing Address - Country:US
Mailing Address - Phone:701-751-6000
Mailing Address - Fax:
Practice Address - Street 1:2000 N 12TH ST # 101
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1905
Practice Address - Country:US
Practice Address - Phone:701-751-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor