Rosen, David

Rosen, David is an sole proprietor health care provider with primary practice located at 24 Sandpiper Ct. , Wichita KS 67230. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rosen, David can be contacted via phone (316) 204-9157.

Contact Information

Primary practice address
24 Sandpiper Ct. Wichita KS 67230
Phone: (316) 204-9157
Fax: (316) 263-2413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0416076 Kansas
Other Service Providers / Specialist 174400000X 16076 Kansas

Profile Details

NPI number 1437127123
LBN Legal business name Rosen, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Oct 23rd, 2018 - about 7 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 1437127123 NPPES
Kansas Other 02879 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100086810A BLUE CROSS BLUE SHIELD

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