Rosenberg, Mark Ernest
Rosenberg, Mark Ernest is an individual health care provider with primary practice located at 1750 El Camino Real Suite 11, Burlingame CA 94010-3228. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rosenberg, Mark Ernest can be contacted via phone (650) 692-1373.Contact Information
Primary practice address
1750 El Camino Real Suite 11
Burlingame CA 94010-3228
Phone: (650) 692-1373
Fax: (650) 692-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C33873 | California |
Profile Details
| NPI number | 1912098559 |
|---|---|
| LBN Legal business name | Rosenberg, Mark Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1912098559 | NPPES |
| California | MEDICAID | ZZZ73137Z |
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