Rothenberg, Marilyn Ann

Rothenberg, Marilyn Ann is an individual health care provider with primary practice located at 9021 Joseph Campau St , Hamtramck MI 48212-3726. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Rothenberg, Marilyn Ann can be contacted via phone (313) 871-1926.

Contact Information

Primary practice address
9021 Joseph Campau St Hamtramck MI 48212-3726
Phone: (313) 871-1926
Fax: (313) 871-1964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704123676 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704123676 Michigan

Profile Details

NPI number 1336187863
LBN Legal business name Rothenberg, Marilyn Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 16th, 2019 - about 5 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 1336187863 NPPES
Massachusetts Other 4208662890 BCBS PIN
Massachusetts MEDICAID 4807836 BCBS PIN

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