1881704427 NPI number — MRS. RACHELLE S COHEN DMD , MSD

Table of content: MRS. RACHELLE S COHEN DMD , MSD (NPI 1881704427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881704427 NPI number — MRS. RACHELLE S COHEN DMD , MSD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COHEN
Provider First Name:
RACHELLE
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DMD , MSD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HECHT
Provider Other First Name:
RACHELLE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD , MSD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881704427
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5016 CALIFORNIA AVE SW
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98136
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-937-1010
Provider Business Mailing Address Fax Number:
206-937-6223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5016 CALIFORNIA AVE SW
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-937-1010
Provider Business Practice Location Address Fax Number:
206-937-6223
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223E0200X , with the licence number:  DE00009741 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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