Individual
BENJAMIN ROBERT COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
151 PENNSYLVANIA PKWY, CARMEL, IN 46280-1379
(317) 732-0050
(317) 732-0050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28209123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102328394
ANTHEM PTAN
IN
01
—
1558830646
ANTHEM PTAN
IN
05
—
300055667
—
IN
Enumeration date
11/19/2018
Last updated
11/26/2024
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