Rosen, Michael B

Rosen, Michael B is an individual health care provider with primary practice located at 857 Montgomery Ave Fl 1 , Penn Valley PA 19072-1541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rosen, Michael B can be contacted via phone (601) 664-2951.

Contact Information

Primary practice address
857 Montgomery Ave Fl 1 Penn Valley PA 19072-1541
Phone: (601) 664-2951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-042474-E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD042474E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD042474E Pennsylvania

Profile Details

NPI number 1285691659
LBN Legal business name Rosen, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 8th, 2023 - about 3 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 1285691659 NPPES
Other MOP103 OXFORD
Other 1015498 OXFORD
Other 1332484 OXFORD
Other 1414084003 OXFORD
Other 602157 OXFORD
Other 0000001 OXFORD
MEDICAID 0016144980001 OXFORD
Other 4226160 OXFORD

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