Cole, Ron W.

Cole, Ron W. is an sole proprietor health care provider with primary practice located at 200 N Lewis St , Lagrange GA 30240-2738. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Cole, Ron W. can be contacted via phone (706) 594-6073.

Contact Information

Primary practice address
200 N Lewis St Lagrange GA 30240-2738
Phone: (706) 594-6073
Fax: (706) 608-9028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001539 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1539 Georgia

Profile Details

NPI number 1770549776
LBN Legal business name Cole, Ron W.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Sep 3rd, 2019 - about 5 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 1770549776 NPPES
Georgia MEDICAID 000460215H
Georgia MEDICAID 00460215A

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