Rosenblum, Joseph
Rosenblum, Joseph is an individual health care provider with primary practice located at 824 Lincolnway Loft #2, La Porte IN 46350-3411. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rosenblum, Joseph can be contacted via phone (219) 380-5724.Contact Information
Primary practice address
824 Lincolnway Loft #2
La Porte IN 46350-3411
Phone: (219) 380-5724
Fax: (219) 575-7345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 02001043A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02001043A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 02001043A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 02001043A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 02001043A | Indiana |
Profile Details
| NPI number | 1609861509 |
|---|---|
| LBN Legal business name | Rosenblum, Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Feb 9th, 2016 - about 8 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 | 1609861509 | NPPES |
| Idaho | MEDICAID | 100356180A | |
| Idaho | MEDICAID | 100356180 | |
| Idaho | Other | 000000540070 | |
| Idaho | Other | 000000792854 |
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