Rosenthal, Marc

Rosenthal, Marc is an individual health care provider with primary practice located at 641 W 63Rd St , Chicago IL 60621-2032. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Rosenthal, Marc can be contacted via phone (719) 589-5161.

Contact Information

Primary practice address
641 W 63Rd St Chicago IL 60621-2032
Phone: (719) 589-5161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8416 Colorado
Dental Providers / General Practice 1223G0001X 019.030533 Illinois

Profile Details

NPI number 1992794598
LBN Legal business name Rosenthal, Marc
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 20th, 2022 - about 2 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 1992794598 NPPES
Colorado MEDICAID 27839770
Colorado Other 16678028
Colorado MEDICAID 019030533
Colorado Other 840706945138

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