Cohen, Richard W.
Cohen, Richard W. is an sole proprietor health care provider with primary practice located at 806 Ridge Ter , Evanston IL 60201-2430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cohen, Richard W. can be contacted via phone (847) 328-5022.Contact Information
Primary practice address
806 Ridge Ter
Evanston IL 60201-2430
Phone: (847) 328-5022
Fax: (847) 328-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-000621 | Illinois |
Profile Details
| NPI number | 1215926738 |
|---|---|
| LBN Legal business name | Cohen, Richard W. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Oct 2nd, 2018 - about 6 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 | 1215926738 | NPPES |
| Illinois | Other | 04972024 | BLUE CROSS |
| Illinois | Other | L010828 | BLUE CROSS |
| Illinois | Other | 905520 | BLUE CROSS |
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