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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

NPI Number 1750337911
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/26/2006
Last updated 02/28/2018 - About 8 years ago
Identifiers
IN License # 01055519A
IN Medicaid 200358430
IN Other 000000485522 ANTHEM PROVIDER NUMBER
IN Other 375079 PHCS PID NUMBER
IN Other P00732885 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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