Provider Demographics
NPI:1861218703
Name:COX, ALLEN JR
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:COX
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3556 ROSSLARE HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7782
Mailing Address - Country:US
Mailing Address - Phone:614-633-6200
Mailing Address - Fax:
Practice Address - Street 1:3556 ROSSLARE HARBOUR DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7782
Practice Address - Country:US
Practice Address - Phone:614-633-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty