Cole, Connie S.

Cole, Connie S. is an sole proprietor health care provider with primary practice located at 5900 E 500 N , Kendallville IN 46755-9349. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Cole, Connie S. can be contacted via phone (260) 349-8185.

Contact Information

Primary practice address
5900 E 500 N Kendallville IN 46755-9349
Phone: (260) 349-8185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71003622A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003622A Indiana

Profile Details

NPI number 1255624912
LBN Legal business name Cole, Connie S.
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2011
Last updated May 27th, 2014 - about 11 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 1255624912 NPPES
Other P01055058 RR MEDICARE
MEDICAID 201023770 RR MEDICARE

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