Cohen, Jonathan D
Cohen, Jonathan D is an sole proprietor health care provider with primary practice located at 282 East Duval Street , Lake City FL 32055. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cohen, Jonathan D can be contacted via phone (386) 288-4734.Contact Information
Primary practice address
282 East Duval Street
Lake City FL 32055
Phone: (386) 288-4734
Fax: (866) 472-1489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6711 | Florida |
Profile Details
| NPI number | 1275746190 |
|---|---|
| LBN Legal business name | Cohen, Jonathan D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Sep 17th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275746190 | NPPES |
| Florida | Other | AI172 | MEDICARE PTAN |
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