Individual
DR. AMY L. COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Mailing address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117113
ANTHEM BC/BS
OH
05
—
0698375
—
OH
01
—
310811048027
CARESOURCE
OH
01
—
350032488
RAILROAD MEDICARE
OH
Enumeration date
02/10/2006
Last updated
02/12/2014
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