Provider Demographics
NPI:1568633832
Name:COHEN, RICHARD J (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:COHEN
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 1:7351 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4051
Mailing Address - Country:US
Mailing Address - Phone:513-791-7155
Mailing Address - Fax:513-791-7487
Practice Address - Street 1:7351 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4051
Practice Address - Country:US
Practice Address - Phone:513-791-7155
Practice Address - Fax:513-791-7487
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2016-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0654034Medicare PIN