Rosenberg, Michael Ward

Rosenberg, Michael Ward is an individual health care provider with primary practice located at 555 E Broadway Ave Suite #229, Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rosenberg, Michael Ward can be contacted via phone (307) 739-7690.

Contact Information

Primary practice address
555 E Broadway Ave Suite #229 Jackson WY 83001-8640
Phone: (307) 739-7690
Fax: (307) 739-7644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8000A Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X M-10577 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 147502 New York

Profile Details

NPI number 1659345221
LBN Legal business name Rosenberg, Michael Ward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 3rd, 2015 - about 9 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 1659345221 NPPES
New York MEDICAID 00953517
New York Other P01354282
New York MEDICAID 127072900
New York Other W26174

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