Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101057896 | VA |
Y | 207RC0200X | Critical Care Medicine | 01076306A | IN |
N | 207RC0200X | Critical Care Medicine | D0080533 | MD |
NPI | 1013983501 |
---|---|
Provider Name | Dr. Michael Andrew Cole |
First Address | Arlington, VA 22207-5363 |
Second Address | Goshen, IN 46526-5236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 23/08/2016 |