Provider Demographics
NPI:1770510703
Name:COHEN, ANDREW C (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
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 1:22 BATTERY ST
Mailing Address - Street 2:STE 505
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-5505
Mailing Address - Country:US
Mailing Address - Phone:415-762-8141
Mailing Address - Fax:
Practice Address - Street 1:22 BATTERY ST
Practice Address - Street 2:STE 505
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5505
Practice Address - Country:US
Practice Address - Phone:415-762-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1044111N00000X
CA30258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIV07597Medicare UPIN
HI101088Medicare PIN