Cohen, Joel N

Cohen, Joel N is an sole proprietor health care provider with primary practice located at 111 Sunnybrook Ct , South Bend IN 46637-3437. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology, Agencies / Hospice Care, Community Based. Agencies / Hospice Care, Community Based is his primary health care specialty. Cohen, Joel N can be contacted via phone (574) 243-3100.

Contact Information

Primary practice address
111 Sunnybrook Ct South Bend IN 46637-3437
Phone: (574) 243-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 01055519A Indiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01055519A Indiana
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1750337911
LBN Legal business name Cohen, Joel N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Feb 28th, 2018 - about 8 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 1750337911 NPPES
Indiana Other 000000485522 ANTHEM PROVIDER NUMBER
Indiana Other 375079 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200358430 ANTHEM PROVIDER NUMBER
Indiana Other P00732885 ANTHEM PROVIDER NUMBER

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