Cole, Alan Kevin

Cole, Alan Kevin is an sole proprietor health care provider with primary practice located at 1 Lincoln Pkwy Suite 300, Hattiesburg MS 39402-3262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Cole, Alan Kevin can be contacted via phone (601) 579-4440.

Contact Information

Primary practice address
1 Lincoln Pkwy Suite 300 Hattiesburg MS 39402-3262
Fax: (601) 579-4460
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 21276 Mississippi

Profile Details

NPI number 1629264544
LBN Legal business name Cole, Alan Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Jun 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629264544 NPPES
Mississippi Other 302I139646 MEDICARE
Mississippi MEDICAID 04556055 MEDICARE

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