Cole Ll, James Randolph

Cole Ll, James Randolph is an individual health care provider with primary practice located at 6800 Montgomery Blvd Ne Suite A, Albuquerque NM 87109-1405. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cole Ll, James Randolph can be contacted via phone (505) 881-1130.

Contact Information

Primary practice address
6800 Montgomery Blvd Ne Suite A Albuquerque NM 87109-1405
Phone: (505) 881-1130
Fax: (505) 881-2081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD872 New Mexico

Profile Details

NPI number 1639147150
LBN Legal business name Cole Ll, James Randolph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 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 1639147150 NPPES
New Mexico MEDICAID 81240

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