Doctor Name: | DR. JENNIFER W COLE |
NPI Number: | 1801948583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101017102 |
Business Practice Address: | Madigan Healthcare System 9040 Reid Street Tacoma, WA - 984311100 |
Business Phone Number: | 2539685069 |
Business Fax Number: | |
Mailing Address: | Madigan Healthcare System, 9040 Reid Street TACOMA |
State: | WA |
Postal Code: | 984311100 |
Phone Number: | 2539685069 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101017102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |