Rosen, Michael Stephen

Rosen, Michael Stephen is an individual health care provider with primary practice located at 2082 Mesquite Ave Suite A106, Lake Havasu City AZ 86403-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rosen, Michael Stephen can be contacted via phone (928) 680-4233.

Contact Information

Primary practice address
2082 Mesquite Ave Suite A106 Lake Havasu City AZ 86403-6710
Phone: (928) 680-4233
Fax: (928) 680-6522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30884 Arizona

Profile Details

NPI number 1124123765
LBN Legal business name Rosen, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 5th, 2008 - about 17 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 1124123765 NPPES
Arizona Other 2Z2025 HEALTH NET ID #
Arizona MEDICAID 744632 HEALTH NET ID #
Arizona Other DD0594 HEALTH NET ID #
Arizona Other AZ0767860 HEALTH NET ID #

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