Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 29063 | IA |
Y | 2081P2900X | Pain Medicine | 4540 | SD |
NPI | 1407896301 |
---|---|
Provider Name | Dr. William Edward Cohen |
First Address | Yankton, SD 57078 |
Second Address | Yankton, SD 57078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 15/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3092791 | (05) | IA |
5610800 | (05) | SD |
D19230 | (02) |