Cohen, Justin David
Cohen, Justin David is an individual health care provider with primary practice located at 3415 Maccorkle Avenue Se , Charleston WV 25304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Cohen, Justin David can be contacted via phone (304) 388-8380.Contact Information
Primary practice address
3415 Maccorkle Avenue Se
Charleston WV 25304
Phone: (304) 388-8380
Fax: (304) 388-8395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 19662 | West Virginia |
Profile Details
| NPI number | 1780647453 |
|---|---|
| LBN Legal business name | Cohen, Justin David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Aug 7th, 2015 - about 11 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 | 1780647453 | NPPES |
| Other | 900002314 | RAILROAD MEDICARE | |
| MEDICAID | 0082381-000 | RAILROAD MEDICARE |
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