MEDICARE: MRS. JODY COLE

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	237600000X	Audiologist-Hearing Aid Fitter	248-156	WI

General Provider Information

NPI Number	:	1720290562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JODY COLE

Provider Business Mailing Address
First Line	:	6062 N PORT WASHINGTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4524
Country	:	US
Telephone Number	:	414-332-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	6062 N PORT WASHINGTON RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-4524
Country	:	US
Telephone Number	:	414-332-3377
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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Directions to “ MRS. JODY COLE ” Practice Location

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