Cohen, Jackson George
Cohen, Jackson George is an individual health care provider with primary practice located at 3702 Washington St Ste 303 , Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Cohen, Jackson George can be contacted via phone (954) 518-2424.Contact Information
Primary practice address
3702 Washington St Ste 303
Hollywood FL 33021
Phone: (954) 518-2424
Fax: (954) 981-3476
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME116519 | Florida |
Profile Details
NPI number | 1467770248 |
---|---|
LBN Legal business name | Cohen, Jackson George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2010 |
Last updated | Mar 15th, 2021 - about 3 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 | 1467770248 | NPPES |
Florida | MEDICAID | 018258400 |
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