Cole, Justin Mcgraw

Cole, Justin Mcgraw is an individual health care provider with primary practice located at 1498 Se Tech Center Pl Suite 390, Vancouver WA 98683-9591. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Cole, Justin Mcgraw can be contacted via phone (360) 597-1050.

Contact Information

Primary practice address
1498 Se Tech Center Pl Suite 390 Vancouver WA 98683-9591
Phone: (360) 597-1050
Fax: (360) 891-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 059389 Georgia
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 059389 Georgia
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD60022112 Washington

Profile Details

NPI number 1629254065
LBN Legal business name Cole, Justin Mcgraw
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 10th, 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 1629254065 NPPES
Georgia MEDICAID 003106781B

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