Cohen, Stacy Ferris

Cohen, Stacy Ferris is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Cohen, Stacy Ferris can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Phone: (608) 324-2000
Fax: (608) 324-1246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036140845 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65408 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 65408 Wisconsin

Profile Details

NPI number 1588926984
LBN Legal business name Cohen, Stacy Ferris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Dec 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588926984 NPPES
Wisconsin MEDICAID 100058859

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