Provider Demographics
NPI:1679783815
Name:COHEN & COHEN PARTNERSHIP
Entity Type:Organization
Organization Name:COHEN & COHEN PARTNERSHIP
Other - Org Name:COHEN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPLE PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-224-3387
Mailing Address - Street 1:2770 SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1211
Mailing Address - Country:US
Mailing Address - Phone:440-224-3387
Mailing Address - Fax:410-224-3955
Practice Address - Street 1:2770 SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1211
Practice Address - Country:US
Practice Address - Phone:440-224-3387
Practice Address - Fax:410-224-3955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COHEN & COHEN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-23
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSO1076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKJ41OtherBCBS
MD727LMedicare ID - Type Unspecified