Provider Demographics
NPI:1316917487
Name:COLE, DON E (DC, FICC)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:E
Last Name:COLE
Suffix:
Gender:M
Credentials:DC, FICC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:COLE CHIROPRACTIC CENTER
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-0607
Mailing Address - Country:US
Mailing Address - Phone:901-755-5515
Mailing Address - Fax:901-755-5825
Practice Address - Street 1:8101 WALNUT RUN RD
Practice Address - Street 2:COLE CHIROPRACTIC CENTER
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6398
Practice Address - Country:US
Practice Address - Phone:901-755-5515
Practice Address - Fax:901-755-5825
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT74699Medicare UPIN
TN3972049Medicare ID - Type Unspecified