Cole, Jeff R.
Cole, Jeff R. is an sole proprietor health care provider with primary practice located at 693 Ne Stephens Street Suite A, Roseburg OR 97470-3166. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cole, Jeff R. can be contacted via phone (541) 643-1375.Contact Information
Primary practice address
693 Ne Stephens Street Suite A
Roseburg OR 97470-3166
Phone: (541) 643-1375
Fax: (541) 464-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1332 | Oregon |
Profile Details
| NPI number | 1730274010 |
|---|---|
| LBN Legal business name | Cole, Jeff R. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 4th, 2008 - about 18 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 | 1730274010 | NPPES |
| Oregon | MEDICAID | 297201 |
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