Provider Demographics
NPI:1427287366
Name:COEN, JOSHUA ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALAN
Last Name:COEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 S SCATTERFIELD RD STE A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-5785
Mailing Address - Country:US
Mailing Address - Phone:765-649-1991
Mailing Address - Fax:765-649-3383
Practice Address - Street 1:1541 S SCATTERFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-5785
Practice Address - Country:US
Practice Address - Phone:765-649-1991
Practice Address - Fax:765-649-3383
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002461A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY714407OtherANTHEM