Roosenberg, Robert J

Roosenberg, Robert J is an individual health care provider with primary practice located at 750 E Beltline Ave Ne , Grand Rapids MI 49525-6049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roosenberg, Robert J can be contacted via phone (616) 949-2600.

Contact Information

Primary practice address
750 E Beltline Ave Ne Grand Rapids MI 49525-6049
Phone: (616) 949-2600
Fax: (616) 365-2076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301034077 Michigan

Profile Details

NPI number 1043214554
LBN Legal business name Roosenberg, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 5th, 2008 - about 17 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 1043214554 NPPES
Michigan Other 180015517 MEDICARE RR
Michigan Other 180D148331 MEDICARE RR
Michigan MEDICAID 1416722 MEDICARE RR

Popular Providers