Cohen, Irwin Randell

Cohen, Irwin Randell is an individual health care provider with primary practice located at 4006 Dutchmans Ln Suite 100, Louisville KY 40207-4704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Cohen, Irwin Randell can be contacted via phone (502) 873-7517.

Contact Information

Primary practice address
4006 Dutchmans Ln Suite 100 Louisville KY 40207-4704
Phone: (502) 873-7517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29908 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2011000734 Missouri
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 29908 Kentucky

Profile Details

NPI number 1376547711
LBN Legal business name Cohen, Irwin Randell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 18th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376547711 NPPES
Kentucky MEDICAID 64299084
Kentucky MEDICAID 200165860

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