Provider Demographics
NPI:1598980443
Name:COLE ZUSMER CHIROPRACTIC
Entity Type:Organization
Organization Name:COLE ZUSMER CHIROPRACTIC
Other - Org Name:COLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:724-872-8366
Mailing Address - Street 1:155 MOUNT PLEASANT RD
Mailing Address - Street 2:P. O. BOX 333
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-1839
Mailing Address - Country:US
Mailing Address - Phone:724-872-8366
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:724-872-8366
Practice Address - Fax:724-872-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001156L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA055611Medicare ID - Type Unspecified
PAT29105Medicare UPIN