Cole, Shawn Ishmael

Cole, Shawn Ishmael is an individual health care provider with primary practice located at 5 Pomona Ave Apt 2H, Newark NJ 07112-2300. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Cole, Shawn Ishmael can be contacted via phone (973) 392-2320.

Contact Information

Primary practice address
5 Pomona Ave Apt 2H Newark NJ 07112-2300
Phone: (973) 392-2320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 40QB00265900 New Jersey

Profile Details

NPI number 1174754956
LBN Legal business name Cole, Shawn Ishmael
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2009
Last updated Jul 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174754956 NPPES
New Jersey Other 40QB00265900 PTA LICENCE #

Popular Providers