Provider Demographics
NPI:1316379035
Name:COLE, ZACHARIE D (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARIE
Middle Name:D
Last Name:COLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 MCWILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:TRAFFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15085-9745
Mailing Address - Country:US
Mailing Address - Phone:412-523-9816
Mailing Address - Fax:
Practice Address - Street 1:126 MATHEWS ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7909
Practice Address - Country:US
Practice Address - Phone:724-850-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor