Rosenthal, Ivan Stewart
Rosenthal, Ivan Stewart is an sole proprietor health care provider with primary practice located at 23 Ne 44Th St , Oakland Park FL 33334-1437. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosenthal, Ivan Stewart can be contacted via phone (561) 487-0818.Contact Information
Primary practice address
23 Ne 44Th St
Oakland Park FL 33334-1437
Phone: (561) 487-0818
Fax: (561) 487-9030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1248 | Florida |
Profile Details
| NPI number | 1821034042 |
|---|---|
| LBN Legal business name | Rosenthal, Ivan Stewart |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Nov 24th, 2010 - about 14 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 | 1821034042 | NPPES |
| Florida | MEDICAID | 620511900 | |
| Florida | Other | 410027418 |
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