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
Fax: (260) 436-2703
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215932579 NPPES
Indiana MEDICAID 100360920

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