Cohen, Justin David

Cohen, Justin David is an individual health care provider with primary practice located at 3415 Maccorkle Avenue Se , Charleston WV 25304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Cohen, Justin David can be contacted via phone (304) 388-8380.

Contact Information

Primary practice address
3415 Maccorkle Avenue Se Charleston WV 25304
Phone: (304) 388-8380
Fax: (304) 388-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 19662 West Virginia

Profile Details

NPI number 1780647453
LBN Legal business name Cohen, Justin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Aug 7th, 2015 - about 9 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 1780647453 NPPES
Other 900002314 RAILROAD MEDICARE
MEDICAID 0082381-000 RAILROAD MEDICARE

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