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NPI Code Detail

MEDICARE: DR. RICHARD M COLE D.O.

MEDICARE: DR. RICHARD M COLE D.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
1207Q00000XFamily Medicine Physician34-004082OH

Other Identifiers

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

General Provider Information

NPI Number : 1518994789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD M COLE D.O.
Provider Business Mailing Address
First Line : 1800 LIVINGSTON AVE
Second Line :
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-245-1218
Provider Business Practice Location Address
First Line : 3745 GROVE AVE
Second Line :
City : LORAIN
State : OH
Zip : 44055-2734
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-240-1663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/12/2010

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Directions to “ DR. RICHARD M COLE D.O.” Practice Location

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