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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548572696 NPPES
Wisconsin MEDICAID 1548572696

Popular Providers