Individual
HEIDI J COHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8607 E US HIGHWAY 36 # 100, AVON, IN 46123-7960
(317) 208-3866
(317) 208-3867
Mailing address
8607 E US HIGHWAY 36 # 100, AVON, IN 46123-7960
(317) 208-3866
(317) 208-3867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001266A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001266
PA
IN
05
—
300005200
—
IN
01
—
99046364A
INDIANA MEDICAL LICENSING AGENCY
IN
01
—
P01291686
RAILROAD MEDICARE
IN
Enumeration date
04/15/2011
Last updated
04/27/2023
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