Cole, Jill B

Cole, Jill B is an individual health care provider with primary practice located at 115 W 19Th St , Indianapolis IN 46202-1310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cole, Jill B can be contacted via phone (317) 924-4022.

Contact Information

Primary practice address
115 W 19Th St Indianapolis IN 46202-1310
Phone: (317) 924-4022
Fax: (317) 924-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01059916A Indiana

Profile Details

NPI number 1467424531
LBN Legal business name Cole, Jill B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467424531 NPPES
Indiana Other 000000358275 ANTHEM PIN (ICCC)
Indiana Other 4164395 ANTHEM PIN (ICCC)
Indiana MEDICAID 200505140 ANTHEM PIN (ICCC)

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