Islam, Janine Coles

Islam, Janine Coles is an individual health care provider with primary practice located at 4295 Kinsey Dr , Tyler TX 75703-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Islam, Janine Coles can be contacted via phone (903) 526-5000.

Contact Information

Primary practice address
4295 Kinsey Dr Tyler TX 75703-1004
Phone: (903) 526-5000
Fax: (903) 526-5006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M5241 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C10004355 Delaware

Profile Details

NPI number 1336146794
LBN Legal business name Islam, Janine Coles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 8th, 2013 - about 11 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 1336146794 NPPES
Delaware MEDICAID 000567801
Delaware MEDICAID 208681101

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