Cole, Jimmie D

Cole, Jimmie D is an sole proprietor health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cole, Jimmie D can be contacted via phone (337) 470-4532.

Contact Information

Primary practice address
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917
Phone: (337) 470-4532
Fax: (337) 470-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 145 Louisiana

Profile Details

NPI number 1417394560
LBN Legal business name Cole, Jimmie D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2013
Last updated May 30th, 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 1417394560 NPPES
Louisiana MEDICAID 1901245

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