Rosenfeld, Michael John

Rosenfeld, Michael John is an sole proprietor health care provider with primary practice located at 210 4Th Ave Mab 3Rd Floor, Grinnell IA 50112-1898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rosenfeld, Michael John can be contacted via phone (641) 236-2905.

Contact Information

Primary practice address
210 4Th Ave Mab 3Rd Floor Grinnell IA 50112-1898
Phone: (641) 236-2905
Fax: (641) 236-2907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32957 Iowa

Profile Details

NPI number 1194706218
LBN Legal business name Rosenfeld, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Aug 17th, 2007 - about 18 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 1194706218 NPPES
Iowa Other 810623397501120000 TRICARE #
Iowa Other 06847 TRICARE #
Iowa MEDICAID 2186049 TRICARE #
Iowa Other P00120796 TRICARE #

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