Cohen, Steven J
Cohen, Steven J is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 201, Fort Wayne IN 46804-4159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cohen, Steven J can be contacted via phone (260) 436-3789.Contact Information
Primary practice address
7910 W Jefferson Blvd Ste 201
Fort Wayne IN 46804-4159
Phone: (260) 436-3789
Fax: (260) 436-2703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01025325A | Indiana |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 01025325A | Indiana |
Profile Details
NPI number | 1215932579 |
---|---|
LBN Legal business name | Cohen, Steven J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2005 |
Last updated | Apr 22nd, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215932579 | NPPES |
Indiana | MEDICAID | 100360920 |
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