Cole, Marty
Cole, Marty is an individual health care provider with primary practice located at 208 S. Arch Street , Connellsville PA 15425-3519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cole, Marty can be contacted via phone (724) 626-2630.Contact Information
Primary practice address
208 S. Arch Street
Connellsville PA 15425-3519
Phone: (724) 626-2630
Fax: (724) 626-2655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD066646L | Pennsylvania |
Profile Details
| NPI number | 1295846681 |
|---|---|
| LBN Legal business name | Cole, Marty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 14th, 2019 - about 7 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 | 1295846681 | NPPES |
| Pennsylvania | MEDICAID | 100877218 |
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