Rosen, Michael B
Rosen, Michael B is an individual health care provider with primary practice located at 857 Montgomery Ave Fl 1 , Penn Valley PA 19072-1541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rosen, Michael B can be contacted via phone (601) 664-2951.Contact Information
Primary practice address
857 Montgomery Ave Fl 1
Penn Valley PA 19072-1541
Phone: (601) 664-2951
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-042474-E | Pennsylvania |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD042474E | Pennsylvania |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD042474E | Pennsylvania |
Profile Details
NPI number | 1285691659 |
---|---|
LBN Legal business name | Rosen, Michael B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | Dec 8th, 2023 - about last year |
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 | 1285691659 | NPPES |
Other | MOP103 | OXFORD | |
Other | 1015498 | OXFORD | |
Other | 1332484 | OXFORD | |
Other | 1414084003 | OXFORD | |
Other | 602157 | OXFORD | |
Other | 0000001 | OXFORD | |
MEDICAID | 0016144980001 | OXFORD | |
Other | 4226160 | OXFORD |
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