Provider Demographics
NPI:1881982395
Name:COHN, EVA G
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:G
Last Name:COHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10580 N MCCARRAN BLVD STE 115
Mailing Address - Street 2:PMB #505
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1896
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10580 N MCCARRAN BLVD STE 115
Practice Address - Street 2:PMB #505
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1896
Practice Address - Country:US
Practice Address - Phone:775-527-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRT-121022471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography