Rosenbaum, Phillip Jay
Rosenbaum, Phillip Jay is an individual health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Rosenbaum, Phillip Jay can be contacted via phone (248) 624-3812.Contact Information
Primary practice address
114 Orchard Lake Rd
Pontiac MI 48341-2244
Phone: (248) 624-3812
Fax: (248) 624-0368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1023313665 |
|---|---|
| LBN Legal business name | Rosenbaum, Phillip Jay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Jan 12th, 2011 - about 13 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 | 1023313665 | NPPES |
| Michigan | MEDICAID | 1883825 |
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