Doctor Name: | ALAN COHN |
NPI Number: | 1073599171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20A5992 |
Business Practice Address: | 101 Old Mccloud Rd Mount Shasta, CA - 960672796 |
Business Phone Number: | 5309265100 |
Business Fax Number: | 5309261859 |
Mailing Address: | 101 Old Mccloud Rd, MOUNT SHASTA |
State: | CA |
Postal Code: | 960672796 |
Phone Number: | 5309265100 |
Fax Number: | 5309261859 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 20A5992 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |