Cole, Jonathan King

Cole, Jonathan King is an sole proprietor health care provider with primary practice located at 190 W Park Ave Ste 4 , Du Bois PA 15801-2277. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Cole, Jonathan King can be contacted via phone (814) 375-7515.

Contact Information

Primary practice address
190 W Park Ave Ste 4 Du Bois PA 15801-2277
Fax: (814) 375-1270
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DS024511L Pennsylvania

Profile Details

NPI number 1811001647
LBN Legal business name Cole, Jonathan King
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 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 1811001647 NPPES
Pennsylvania Other 112780 INSURANCE PROVIDER ID

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