Field 2: BILLING SERVICE NAME If applicable, enter the name of the billing service that the provider is enrolled. with. If you are not using a billing service, leave this field blank. Field 3: DATE Enter the date the Certification Statement is submitted to the fiscal agent.
Gregory Jerome Coleman (born September 9, 1954 in Jacksonville, Florida) is a retired American football punter who had a 12-year career in the National Football League playing for the Cleveland Browns, the Minnesota Vikings, and the Washington Redskins. He attended Florida A&M University.
ESPNNFL NFL on ESPN Todd Haley will run the Browns' offense under Hue Jackson, a source told @AdamSchefter. https://t.co/ds8b5VD4xK about 5 hours ago ; ColemanESPN Freddie Coleman.@ColemanESPN & @Ianfitzespn on Brady again & what chat he might retire for good. Listen Live NOW on @ESPNRadio https://t.co/eoV3bmaQAG about 5 hours ago