Cole, Marty

Cole, Marty is an individual health care provider with primary practice located at 208 S. Arch Street , Connellsville PA 15425-3519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cole, Marty can be contacted via phone (724) 626-2630.

Contact Information

Primary practice address
208 S. Arch Street Connellsville PA 15425-3519
Fax: (724) 626-2655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD066646L Pennsylvania

Profile Details

NPI number 1295846681
LBN Legal business name Cole, Marty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 14th, 2019 - about 6 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 1295846681 NPPES
Pennsylvania MEDICAID 100877218

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