Cole, Theresa Ann
Cole, Theresa Ann is an individual health care provider with primary practice located at 1086 Franklin St Suite 3002, Johnstown PA 15905-4305. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Cole, Theresa Ann can be contacted via phone (814) 534-9194.Contact Information
Primary practice address
1086 Franklin St Suite 3002
Johnstown PA 15905-4305
Phone: (814) 534-9194
Fax: (814) 534-5847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OT010330 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 1113 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1113 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | OS013873 | Pennsylvania |
Profile Details
| NPI number | 1700907789 |
|---|---|
| LBN Legal business name | Cole, Theresa Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700907789 | NPPES |
| South Carolina | MEDICAID | 011138 |
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