Cole, Larry W
Cole, Larry W is an individual health care provider with primary practice located at 3245 International Cir Suite 200, Colorado Springs CO 80910-3152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cole, Larry W can be contacted via phone (719) 484-8840.Contact Information
Primary practice address
3245 International Cir Suite 200
Colorado Springs CO 80910-3152
Phone: (719) 484-8840
Fax: (719) 484-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 17452 | Colorado |
Profile Details
| NPI number | 1174619068 |
|---|---|
| LBN Legal business name | Cole, Larry W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 21st, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174619068 | NPPES |
| Colorado | MEDICAID | 1174523 |
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