Rosenblum, Jason K

Rosenblum, Jason K is an individual health care provider with primary practice located at 7905 Calumet Ave , Munster IN 46321-2549. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Rosenblum, Jason K can be contacted via phone (219) 836-5800.

Contact Information

Primary practice address
7905 Calumet Ave Munster IN 46321-2549
Phone: (219) 836-5800
Fax: (219) 836-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000963A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000963A Indiana

Profile Details

NPI number 1487681235
LBN Legal business name Rosenblum, Jason K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 18th, 2023 - about last year

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 1487681235 NPPES
Indiana MEDICAID 200440750
Indiana Other 207020A

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