MEDICARE: COLE ZUSMER CHIROPRACTIC

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	DC001156L	PA

General Provider Information

NPI Number	:	1598980443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLE ZUSMER CHIROPRACTIC

Provider Business Mailing Address
First Line	:	155 MOUNT PLEASANT RD
Second Line	:	P. O. BOX 333
City	:	WEST NEWTON
State	:	PA
Zip	:	15089-1839
Country	:	US
Telephone Number	:	724-872-8366
Fax Number	:	724-872-8529

Provider Business Practice Location Address
First Line	:	155 MOUNT PLEASANT RD
Second Line	:
City	:	WEST NEWTON
State	:	PA
Zip	:	15089-1839
Country	:	US
Telephone Number	:	724-872-8366
Fax Number	:	724-872-8529

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES T COLE
Credential	:	D. C.
Telephone Number	:	724-872-8366

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	04/05/2013

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