Provider Demographics
NPI:1821307596
Name:COHEN, MICHELE JOANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:JOANNE
Last Name:COHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 ARTESIA BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-7163
Mailing Address - Country:US
Mailing Address - Phone:310-798-8082
Mailing Address - Fax:
Practice Address - Street 1:1713 ARTESIA BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-7163
Practice Address - Country:US
Practice Address - Phone:310-798-8082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18646111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition