Rothenberg, A Jerald
Rothenberg, A Jerald is an individual health care provider with primary practice located at 2270 Arbeleda Ln , Northbrook IL 60062. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rothenberg, A Jerald can be contacted via phone (847) 254-2453.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036-039336 | Illinois |
Profile Details
| NPI number | 1184683765 |
|---|---|
| LBN Legal business name | Rothenberg, A Jerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 1st, 2016 - about 9 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 | 1184683765 | NPPES |
| Illinois | MEDICAID | 0360393361 |
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