Cole, Douglas Gene

Cole, Douglas Gene is an sole proprietor health care provider with primary practice located at 1755 Merriman Rd #100, Akron OH 44313-5296. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Cole, Douglas Gene can be contacted via phone (330) 836-8090.

Contact Information

Primary practice address
1755 Merriman Rd #100 Akron OH 44313-5296
Fax: (330) 867-8432
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SP142 Ohio

Profile Details

NPI number 1780774554
LBN Legal business name Cole, Douglas Gene
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1780774554 NPPES
Ohio MEDICAID 0496173

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