Cohen, Eileen M

Cohen, Eileen M is an individual health care provider with primary practice located at 632 Del Prado Blvd N Ste 101 , Cape Coral FL 33909-2278. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cohen, Eileen M can be contacted via phone (239) 772-5577.

Contact Information

Primary practice address
632 Del Prado Blvd N Ste 101 Cape Coral FL 33909-2278
Phone: (239) 772-5577
Fax: (239) 573-1528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101411 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101411 Florida

Profile Details

NPI number 1013979731
LBN Legal business name Cohen, Eileen M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 31st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013979731 NPPES
Florida Other PA9101411 PA LICENSE
Florida Other 970019944 PA LICENSE
Florida MEDICAID 2911064100 PA LICENSE
Florida MEDICAID 291064100 PA LICENSE

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