MEDICARE: ZEPHANIE COLE D.C.

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	111N00000X	Chiropractor	5881	MN

General Provider Information

NPI Number	:	1437570850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEPHANIE COLE D.C.

Provider Business Mailing Address
First Line	:	204 LAKE AVE
Second Line	:	SUITE 203
City	:	FAIRMONT
State	:	MN
Zip	:	56031-1846
Country	:	US
Telephone Number	:	507-235-8485
Fax Number	:	507-238-1578

Provider Business Practice Location Address
First Line	:	204 LAKE AVE
Second Line	:	SUITE 203
City	:	FAIRMONT
State	:	MN
Zip	:	56031-1846
Country	:	US
Telephone Number	:	507-235-8485
Fax Number	:	507-235-6620

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

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	07/13/2016

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Directions to “ ZEPHANIE COLE D.C.” Practice Location

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