Rosenberg, Ethan Ross
Rosenberg, Ethan Ross is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rosenberg, Ethan Ross can be contacted via phone (425) 259-0966.Contact Information
Primary practice address
3927 Rucker Ave
Everett WA 98201-4833
Phone: (425) 259-0966
Fax: (425) 317-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M5911 | Texas |
Profile Details
| NPI number | 1447388194 |
|---|---|
| LBN Legal business name | Rosenberg, Ethan Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 22nd, 2014 - about 10 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 | 1447388194 | NPPES |
| Washington | Other | MD60153759 | LICENSE |
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