Goodare-Rosenthal, Nancy Lee

Goodare-Rosenthal, Nancy Lee is an sole proprietor health care provider with primary practice located at 155 N Harbor Dr Apt 2409, Chicago IL 60601-5007. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Goodare-Rosenthal, Nancy Lee can be contacted via phone (312) 996-7546.

Contact Information

Primary practice address
155 N Harbor Dr Apt 2409 Chicago IL 60601-5007
Phone: (312) 996-7546
Fax: (312) 355-4173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.030532 Illinois
Dental Providers / Dentist 122300000X 8414 Colorado

Profile Details

NPI number 1316935232
LBN Legal business name Goodare-Rosenthal, Nancy Lee
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Oct 19th, 2018 - about 8 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 1316935232 NPPES
Colorado MEDICAID 60501332
Colorado Other 94984018
Colorado Other 840706945137

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