Rosenberg, Jason G.
Rosenberg, Jason G. is an individual health care provider with primary practice located at 2350 N Lake Dr Ste 300 , Milwaukee WI 53211-4528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rosenberg, Jason G. can be contacted via phone (414) 298-7100.Contact Information
Primary practice address
2350 N Lake Dr Ste 300
Milwaukee WI 53211-4528
Phone: (414) 298-7100
Fax: (414) 298-7101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44786 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 44786 | Wisconsin |
Profile Details
| NPI number | 1336179340 |
|---|---|
| LBN Legal business name | Rosenberg, Jason G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Sep 7th, 2021 - about 3 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 | 1336179340 | NPPES |
| Wisconsin | MEDICAID | 1336179340 |
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