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Contact Information

JOEL N COHEN, MD
111 SUNNYBROOK CT
SOUTH BEND, IN46637-3437
 Phone: 574-243-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOEL N COHEN · (Male)

NPI Number 1750337911
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 02/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01055519A
  • IN Medicaid 200358430
  • IN Other 000000485522 ANTHEM PROVIDER NUMBER
  • IN Other 375079 PHCS PID NUMBER
  • IN Other P00732885 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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