Cole, Jonathan D

Cole, Jonathan D is an sole proprietor health care provider with primary practice located at Bluegrass Health Psychology, Inc. 2220 Young Drive, Lexington KY 40505-4219. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cole, Jonathan D can be contacted via phone (859) 277-1008.

Contact Information

Primary practice address
Bluegrass Health Psychology, Inc. 2220 Young Drive Lexington KY 40505-4219
Phone: (859) 277-1008
Fax: (859) 277-1083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 1200 Kentucky
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1200 Kentucky
Behavioral Health & Social Service Providers / Health 103TH0004X 128960 Kentucky
Behavioral Health & Social Service Providers / Health Service 103TH0100X 128960 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1200 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 128960 Kentucky

Profile Details

NPI number 1669573770
LBN Legal business name Cole, Jonathan D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Nov 18th, 2020 - about 4 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 1669573770 NPPES
Kentucky MEDICAID 89000749

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