Jack Anthony Cole (NPI# 1619943784, PAC ID# 7012937824) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1619943784 |
| PAC ID by PECOS | 7012937824 |
| Professional Enrollment ID | I20110302000398 |
| Full Name | Jack Anthony Cole |
| Address |
302 S Kitchell Ave E Olney IL 62450-1500 |
| Phone Number | 6183956261 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 302 S Kitchell Ave E, Olney, IL 62450-1500 | 6183956261 |
| Street Address |
302 S KITCHELL AVE E |
| City | OLNEY |
| State | IL |
| Zip | 62450-1500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C Feddes | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Tara Beth Mckinney | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Gary Roe Street | Chiropractic | 400 S W St, Olney, IL 62450-1217 | |
| Ronald J Greenberg | Chiropractic | 731 S W St, Olney, IL 62450-1309 | |
| Amanda J Schlick | Chiropractic | 600 W Main St, Olney, IL 62450-1542 | |
| Nathan A Stevens | Chiropractic | 600 W Main St, Stevens Chiropractic Clinic, Olney, IL 62450-1542 | |
| Deanna Fields | Nurse Practitioner | 117 N Boone St, Olney, IL 62450-2109 | |
| Daniel J Brown | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Clark E Deshon | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Katherine E Myers | Nurse Practitioner | Richland Memorial Hospital Inc | 605 E Main St, Olney, IL 62450-2163 |
| Find all physicians in zip 62450 | |||
| City | OLNEY |
| Zip Code | 62450 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | OLNEY + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.