Individual
MR. ERIC WARREN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 COGLEY COLE RD, VEVAY, IN 47043-9660
(812) 427-4184
Mailing address
110 COGLEY COLE RD, VEVAY, IN 47043-9660
(812) 427-4184
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200902270
—
IN
Enumeration date
09/08/2008
Last updated
09/08/2008
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