Cohen, Brandon
Cohen, Brandon is an sole proprietor health care provider with primary practice located at 2803 W 95Th St , Evergreen Park IL 60805-2702. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cohen, Brandon can be contacted via phone (708) 419-1402.Contact Information
Primary practice address
2803 W 95Th St
Evergreen Park IL 60805-2702
Phone: (708) 419-1402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.033291 | Illinois |
Profile Details
| NPI number | 1881363414 |
|---|---|
| LBN Legal business name | Cohen, Brandon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2021 |
| Last updated | Sep 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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