| Robert Cozzens, | |
|
2233 Landan Dr, Louisville, KY 40218-1563 | |
| (502) 271-9133 | |
| Not Available |
| Full Name | Robert Cozzens |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2233 Landan Dr, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538608815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 283125 (Kentucky) | Primary |
| Provider Name | Max Family Chiropractic , Rebecca Pangemanan Dc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164075180 PECOS PAC ID: 3577995539 Enrollment ID: O20191112002663 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Cozzens, 55 Hospital Dr, Athens, OH 45701-2302 Ph: (740) 592-9204 | Robert Cozzens, 2233 Landan Dr, Louisville, KY 40218-1563 Ph: (502) 271-9133 |
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