Ruffolo, Stefanie
Ruffolo, Stefanie is an sole proprietor health care provider with primary practice located at 6121 Green Bay Rd Ste 100 , Kenosha WI 53142-2931. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ruffolo, Stefanie can be contacted via phone (262) 220-7294.Contact Information
Primary practice address
6121 Green Bay Rd Ste 100
Kenosha WI 53142-2931
Phone: (262) 220-7294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT197580 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT197580 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 63334 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 63334 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 63334 | Wisconsin |
Profile Details
| NPI number | 1548572696 |
|---|---|
| LBN Legal business name | Ruffolo, Stefanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2010 |
| Last updated | Feb 4th, 2016 - about 8 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 | 1548572696 | NPPES |
| Wisconsin | MEDICAID | 1548572696 |
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