Cole, Robert

Cole, Robert is an individual health care provider with primary practice located at 7220 S Highway 16 , Rapid City SD 57702-8708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cole, Robert can be contacted via phone (605) 341-1414.

Contact Information

Primary practice address
7220 S Highway 16 Rapid City SD 57702-8708
Fax: (605) 341-7062
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0834 South Dakota

Profile Details

NPI number 1457600959
LBN Legal business name Cole, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Jun 14th, 2017 - about 9 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 1457600959 NPPES
South Dakota MEDICAID 2004921

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