Rosenblatt, Mark

Rosenblatt, Mark is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rosenblatt, Mark can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Fax: (720) 494-3107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42702 Colorado

Profile Details

NPI number 1851375455
LBN Legal business name Rosenblatt, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Sep 27th, 2017 - about 7 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 1851375455 NPPES
Colorado MEDICAID 20121067

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