Rosen, Richard Lee
Rosen, Richard Lee is an individual health care provider with primary practice located at 9235 W Capitol Dr , Milwaukee WI 53222-1567. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rosen, Richard Lee can be contacted via phone (414) 462-3160.Contact Information
Primary practice address
9235 W Capitol Dr
Milwaukee WI 53222-1567
Phone: (414) 462-3160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2785 | Wisconsin |
Profile Details
| NPI number | 1558305250 |
|---|---|
| LBN Legal business name | Rosen, Richard Lee |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558305250 | NPPES |
| Wisconsin | MEDICAID | 33430600 |
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