Cohen, Gordon A

Cohen, Gordon A is an individual health care provider with primary practice located at 4455 148Th Ave Ne , Bellevue WA 98007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Cohen, Gordon A can be contacted via phone (425) 869-4746.

Contact Information

Primary practice address
4455 148Th Ave Ne Bellevue WA 98007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00033730 Washington

Profile Details

NPI number 1629168513
LBN Legal business name Cohen, Gordon A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2018 - about 6 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 1629168513 NPPES
Other 4539 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8321341 INTERNAL ID-MOTOR VEHICLE ID

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