Cohen, Eric David
Cohen, Eric David is an individual health care provider with primary practice located at 405 W Country Club Rd , Roswell NM 88201-5209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Cohen, Eric David can be contacted via phone (575) 624-4663.Contact Information
Primary practice address
405 W Country Club Rd
Roswell NM 88201-5209
Phone: (575) 624-4663
Fax: (575) 624-4907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 32942 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14308 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 32942 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD2019-0764 | New Mexico |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD2019-0764 | New Mexico |
Profile Details
| NPI number | 1720065188 |
|---|---|
| LBN Legal business name | Cohen, Eric David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720065188 | NPPES |
| New Mexico | Other | 859420 | MEDICARE PTAN / ROSWELL CLINIC CORP |
| New Mexico | MEDICAID | 36970832 | MEDICARE PTAN / ROSWELL CLINIC CORP |
| New Mexico | MEDICAID | 009929395 | MEDICARE PTAN / ROSWELL CLINIC CORP |
| New Mexico | MEDICAID | 337603 | MEDICARE PTAN / ROSWELL CLINIC CORP |
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