Cole, Jacqueline N

Cole, Jacqueline N is an individual health care provider with primary practice located at 1600 Medical Center Dr Ste 1500, Huntington WV 25701-3656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cole, Jacqueline N can be contacted via phone (304) 691-1100.

Contact Information

Primary practice address
1600 Medical Center Dr Ste 1500 Huntington WV 25701-3656
Fax: (304) 691-1153
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20005 West Virginia

Profile Details

NPI number 1467413476
LBN Legal business name Cole, Jacqueline N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 26th, 2012 - 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 1467413476 NPPES
West Virginia MEDICAID 1807624000
West Virginia MEDICAID 64039076
West Virginia MEDICAID 2269914

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