Cohen, Jesse D
Cohen, Jesse D is an sole proprietor health care provider with primary practice located at 333 E Virginia Ave Ste 210 , Phoenix AZ 85004-1210. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cohen, Jesse D can be contacted via phone (602) 253-5993.Contact Information
Primary practice address
333 E Virginia Ave Ste 210
Phoenix AZ 85004-1210
Phone: (602) 253-5993
Fax: (602) 253-4254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9868 | Arizona |
Profile Details
| NPI number | 1487792875 |
|---|---|
| LBN Legal business name | Cohen, Jesse D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1487792875 | NPPES |
| Arizona | MEDICAID | 201062 |
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