Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 01075254A | IN |
Y | 207RN0300X | Nephrologist | 35044778 | OH |
NPI | 1003816729 |
---|---|
Provider Name | Loren H Cohen |
First Address | Cincinnati, OH 45236-6706 |
Second Address | Cincinnati, OH 45236-6706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 01/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000017865 | ANTHEM (01) | OH |
0437325 | (05) | OH |
200938020 | (05) | IN |
6486903500 | (05) | KY |
C01965 | (02) |