Cohn, Evan L

Cohn, Evan L is an individual health care provider with primary practice located at 815 Pennsylvania Ave Suite 710, Fort Worth TX 76104-2224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cohn, Evan L can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
815 Pennsylvania Ave Suite 710 Fort Worth TX 76104-2224
Phone: (817) 321-0387
Fax: (214) 363-0720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K5084 Texas

Profile Details

NPI number 1104825488
LBN Legal business name Cohn, Evan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 19th, 2014 - about 12 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 1104825488 NPPES
Texas MEDICAID 102972003
Texas MEDICAID 102972002

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