Provider Demographics
NPI:1265058655
Name:COX, ERRICK WALTER (QBHS)
Entity type:Individual
Prefix:MR
First Name:ERRICK
Middle Name:WALTER
Last Name:COX
Suffix:
Gender:M
Credentials:QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S GREEN RD # SUIE200
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3338
Mailing Address - Country:US
Mailing Address - Phone:216-703-1081
Mailing Address - Fax:216-459-7580
Practice Address - Street 1:2121 S GREEN RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3338
Practice Address - Country:US
Practice Address - Phone:216-703-1081
Practice Address - Fax:216-459-7580
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health