MEDICARE: DR. THOMAS C 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	DC010879	PA

General Provider Information

NPI Number	:	1740609411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS C COLE D.C.

Provider Business Mailing Address
First Line	:	1126 WILLOWBROOK RD
Second Line	:
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-3200
Country	:	US
Telephone Number	:	724-972-2608
Fax Number	:

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	:	724-872-7255
Fax Number	:

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

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	04/10/2014

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