Cole, Shannon H

Cole, Shannon H is an individual health care provider with primary practice located at 215 S Parkside Dr Ste 215 , Colorado Springs CO 80910-3131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cole, Shannon H can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
215 S Parkside Dr Ste 215 Colorado Springs CO 80910-3131
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 051761 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0036504 Colorado

Profile Details

NPI number 1104925494
LBN Legal business name Cole, Shannon H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 20th, 2021 - 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 1104925494 NPPES
Colorado Other 010998 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 00966864A KAISER COMMERCIAL NUMBER
Colorado MEDICAID 00966864C KAISER COMMERCIAL NUMBER
Colorado MEDICAID 00966864B KAISER COMMERCIAL NUMBER

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