Cohen, Irwin Randell
Cohen, Irwin Randell is an individual health care provider with primary practice located at 4006 Dutchmans Ln Suite 100, Louisville KY 40207-4704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Cohen, Irwin Randell can be contacted via phone (502) 873-7517.Contact Information
Primary practice address
4006 Dutchmans Ln Suite 100
Louisville KY 40207-4704
Phone: (502) 873-7517
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 29908 | Kentucky |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2011000734 | Missouri |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 29908 | Kentucky |
Profile Details
NPI number | 1376547711 |
---|---|
LBN Legal business name | Cohen, Irwin Randell |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Feb 18th, 2013 - 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 | 1376547711 | NPPES |
Kentucky | MEDICAID | 64299084 | |
Kentucky | MEDICAID | 200165860 |
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