Provider Demographics
NPI:1215932488
Name:COHN, ARTHUR JOE (DO)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOE
Last Name:COHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:155 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:MO
Mailing Address - Zip Code:65753-8104
Mailing Address - Country:US
Mailing Address - Phone:417-634-4203
Mailing Address - Fax:417-634-4505
Practice Address - Street 1:155 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:MO
Practice Address - Zip Code:65753-8104
Practice Address - Country:US
Practice Address - Phone:417-634-4203
Practice Address - Fax:417-634-4505
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8A65207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1215932488Medicaid
110054357OtherRR MEDICARE
MO241313733Medicaid
E24247Medicare UPIN
MO1215932488Medicaid