Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101046750 | VA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101046750 | VA |
NPI | 1164400909 |
---|---|
Provider Name | Sheldon L Cohn |
First Address | Virginia Beach, VA 23462-1832 |
Second Address | Virginia Beach, VA 23456-0167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006452116 | (05) | VA |
200008638 | RAILROAD MEDICARE (01) | |
C00102 | MEDICARE GROUP LEGACY NUM (01) | |
CC7688 | RAILROAD MEDICARE GROUP (01) | |
E89342 | (02) |