Provider Demographics
NPI:1588671234
Name:COHEN, JOSHUA A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4627 FIFTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-681-4747
Mailing Address - Fax:412-681-1684
Practice Address - Street 1:4627 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-681-4747
Practice Address - Fax:412-681-1684
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007812L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA777704OtherHIGHMARK BLUE SHIELD
PA0019115450001Medicaid
PA417465OtherHEALTHAMERICA ASSURANCE
PA212782OtherUPMC
U81061Medicare UPIN
PA777704OtherHIGHMARK BLUE SHIELD