Gersh, Benjamin Cohen

Gersh, Benjamin Cohen is an individual health care provider with primary practice located at 611 W. Park St. , Urbana IL 61801-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gersh, Benjamin Cohen can be contacted via phone (217) 383-3431.

Contact Information

Primary practice address
611 W. Park St. Urbana IL 61801-2500
Phone: (217) 383-3431
Fax: (217) 383-7117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011-00818 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2011-00818 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036138542 Illinois

Profile Details

NPI number 1942400072
LBN Legal business name Gersh, Benjamin Cohen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Feb 4th, 2021 - 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 1942400072 NPPES
North Carolina Other 165FY BCBSNC
North Carolina MEDICAID 5918528 BCBSNC

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