MEDICARE: DANIEL COLE C.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist	LO207	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326031410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL COLE C.O.

Provider Business Mailing Address
First Line	:	723 PHILLIPS AVE
Second Line	:	SUITE F
City	:	TOLEDO
State	:	OH
Zip	:	43612-1362
Country	:	US
Telephone Number	:	419-476-4248
Fax Number	:	419-476-6655

Provider Business Practice Location Address
First Line	:	723 PHILLIPS AVE
Second Line	:	SUITE F
City	:	TOLEDO
State	:	OH
Zip	:	43612-1362
Country	:	US
Telephone Number	:	419-476-4248
Fax Number	:	419-476-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/16/2008

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Directions to “ DANIEL COLE C.O.” Practice Location

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