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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174619068 NPPES
Colorado MEDICAID 1174523

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