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Individual

DR. PATRICK J. COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., P.T.

Contact information

Practice address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Mailing address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001110
VT
225100000X
Physical Therapist
040-0003483
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00058751
BCBS PT INDIVIDUAL
01
00058780
BCBS INDIVIDUAL CHIRO
01
10102836
CDPHP
01
383814
MVP PT
01
4260800
CIGNA
01
610903200
EMPLY STANADARDS ADM CHIR
01
610903300
EMPLYMNT STANDRDS ADMN PT
01
Q29P4
EMPIREBLUECROSSBLUESHIELD
NY
01
X09C0
EMPIREBLUECROSSBLUESHIELD
NY
01
X09C01
EMPIREBCBSCHIRO
NY
Enumeration date
06/15/2006
Last updated
03/21/2014
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