Cohen, Larry L
Cohen, Larry L is an individual health care provider with primary practice located at 1010 Spruce St Espanola Hospital, Espanola NM 87532-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cohen, Larry L can be contacted via phone (505) 753-7111.Contact Information
Primary practice address
1010 Spruce St Espanola Hospital
Espanola NM 87532-2724
Phone: (505) 753-7111
Fax: (505) 753-4438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7311 | New Mexico |
Profile Details
| NPI number | 1114011509 |
|---|---|
| LBN Legal business name | Cohen, Larry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114011509 | NPPES |
| New Mexico | MEDICAID | 17665 |
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