Provider Demographics
NPI:1376636795
Name:COLE CHIROPRACTIC CENTER OF BARTLETT
Entity Type:Organization
Organization Name:COLE CHIROPRACTIC CENTER OF BARTLETT
Other - Org Name:COLE PAIN THERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-377-2340
Mailing Address - Street 1:2845 SUMMER OAKS DRIVE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134
Mailing Address - Country:US
Mailing Address - Phone:901-377-2340
Mailing Address - Fax:901-373-4570
Practice Address - Street 1:2845 SUMMER OAKS DRIVE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134
Practice Address - Country:US
Practice Address - Phone:901-377-2340
Practice Address - Fax:901-373-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC196111N00000X
TNDC557111N00000X
TNDC457111N00000X
TNDC1406111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty