Cox, Diethra D

Cox, Diethra D is an sole proprietor health care provider with primary practice located at 5900 Som Center Rd Ste 12123 , Willoughby OH 44094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Cox, Diethra D can be contacted via phone (440) 205-0242.

Contact Information

Primary practice address
5900 Som Center Rd Ste 12123 Willoughby OH 44094
Fax: (440) 205-9806
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35054360 Ohio

Profile Details

NPI number 1790796274
LBN Legal business name Cox, Diethra D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated May 15th, 2018 - about 7 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 1790796274 NPPES
Ohio MEDICAID 0702789

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