Rosenberg, Larry Allen

Rosenberg, Larry Allen is an individual health care provider with primary practice located at 2024 Lindberg Rd , Anderson IN 46012-2716. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rosenberg, Larry Allen can be contacted via phone (765) 643-2987.

Contact Information

Primary practice address
2024 Lindberg Rd Anderson IN 46012-2716
Fax: (765) 640-0079
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000459A Indiana

Profile Details

NPI number 1043366594
LBN Legal business name Rosenberg, Larry Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 14th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043366594 NPPES
Other 508770010 MEDICARE
MEDICAID 100172400A MEDICARE

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