Rosenberg, Dean Alan
Rosenberg, Dean Alan is an sole proprietor health care provider with primary practice located at 217 6Th St , Racine WI 53403-1213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosenberg, Dean Alan can be contacted via phone (262) 634-4430.Contact Information
Primary practice address
217 6Th St
Racine WI 53403-1213
Phone: (262) 634-4430
Fax: (262) 634-1890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2220TPA | Wisconsin |
Profile Details
| NPI number | 1679558282 |
|---|---|
| LBN Legal business name | Rosenberg, Dean Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jun 11th, 2020 - about 4 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 | 1679558282 | NPPES |
| Wisconsin | MEDICAID | 38574400 | |
| Wisconsin | Other | P00435918 | |
| Wisconsin | Other | 391951110 |
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