Cole, Paul Cletus

Cole, Paul Cletus is an individual health care provider with primary practice located at 770 Lynnhaven Pkwy S, Virginia Beach VA 23452-7324. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cole, Paul Cletus can be contacted via phone (757) 802-4500.

Contact Information

Primary practice address
770 Lynnhaven Pkwy S Virginia Beach VA 23452-7324
Phone: (757) 802-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000434 Virginia

Profile Details

NPI number 1356314447
LBN Legal business name Cole, Paul Cletus
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Apr 14th, 2015 - about 9 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 1356314447 NPPES
Virginia MEDICAID 008900094
Virginia Other 066756
Virginia Other 066756
Virginia Other 049385
Virginia Other 083380
Virginia Other 176106
Virginia Other 288071
Virginia Other 10477
Virginia Other 033142
Virginia Other 132033
Virginia Other 35150835
Virginia Other P00129368

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