Rosencranz, Marylyn A

Rosencranz, Marylyn A is an individual health care provider with primary practice located at 5363 Commerce Dr , Crown Point IN 46307-5325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Rosencranz, Marylyn A can be contacted via phone (219) 769-5000.

Contact Information

Primary practice address
5363 Commerce Dr Crown Point IN 46307-5325
Phone: (219) 769-5000
Fax: (574) 273-1137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 02001008 Indiana

Profile Details

NPI number 1811981970
LBN Legal business name Rosencranz, Marylyn A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 14th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811981970 NPPES
Indiana MEDICAID 200288940
Indiana Other P00719157
Indiana Other 000000576548
Indiana MEDICAID 036064791

Popular Providers