Provider Demographics
NPI:1316949092
Name:COLE, JAMES T (D C)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:COLE
Suffix:
Gender:M
Credentials:D C
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 333
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-0333
Mailing Address - Country:US
Mailing Address - Phone:724-872-7255
Mailing Address - Fax:724-872-8529
Practice Address - Street 1:155 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:PA
Practice Address - Zip Code:15089-1839
Practice Address - Country:US
Practice Address - Phone:724-872-7255
Practice Address - Fax:724-872-8529
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001156L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000631510002Medicaid
PA1326589OtherHIGHMARK BC/BS
PA4260815OtherAETNA
PA000631510002Medicaid
PAT29105Medicare UPIN