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Individual

DR. STEPHEN ERIC COHEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1300 BAXTER ST, SUITE 220, CHARLOTTE, NC 28204-3053
(704) 333-5313
(704) 333-7503
Mailing address
1300 BAXTER ST, SUITE 220, CHARLOTTE, NC 28204-3053
(704) 333-5313
(704) 333-7503

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2485
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0831V
BCBS OF NC PROVIDER NO.
NC
01
615027
ACN PROVIDER NO.
NC
05
890831V
NC
01
9992691
CIGNA HEALTHCARE PROVIDER
NC
Enumeration date
05/04/2006
Last updated
07/08/2007
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