Rosenberg, Richard Michael

Rosenberg, Richard Michael is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Rosenberg, Richard Michael can be contacted via phone (920) 926-8570.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8570
Fax: (920) 926-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 173008 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 173008 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 100915-875 Wisconsin

Profile Details

NPI number 1134205495
LBN Legal business name Rosenberg, Richard Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Sep 7th, 2023 - about 2 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 1134205495 NPPES
New York Other 29596P HIP
New York Other 41F811 HIP
New York Other 0552202-009 HIP
New York Other NS1530 HIP
New York MEDICAID 01177215 HIP
New York Other 539417 HIP

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