Panushka, Cole Joseph

Panushka, Cole Joseph is an individual health care provider with primary practice located at 1433 N 1075 W Ste 104 , Farmington UT 84025-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Panushka, Cole Joseph can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
1433 N 1075 W Ste 104 Farmington UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1825061205 Utah

Profile Details

NPI number 1053392050
LBN Legal business name Panushka, Cole Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 19th, 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 1053392050 NPPES
Utah Other P00199626 RR MEDICARE
Utah MEDICAID 120889600 RR MEDICARE
Utah Other P00651556 RR MEDICARE
Utah MEDICAID 10058 RR MEDICARE
Utah MEDICAID 807112800 RR MEDICARE
Utah MEDICAID 931718 RR MEDICARE

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