Cole, Charles Harold

Cole, Charles Harold is an individual health care provider with primary practice located at 2934 Frontage Rd , Warsaw IN 46580-3914. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cole, Charles Harold can be contacted via phone (574) 269-5558.

Contact Information

Primary practice address
2934 Frontage Rd Warsaw IN 46580-3914
Phone: (574) 269-5558
Fax: (574) 269-3088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002042B Indiana

Profile Details

NPI number 1962440792
LBN Legal business name Cole, Charles Harold
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 19th, 2021 - about 3 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 1962440792 NPPES
Indiana MEDICAID 100159090

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