Rosenberg, David Alan

Rosenberg, David Alan is an individual health care provider with primary practice located at 250 S Chestnut St Ste 30 , Ravenna OH 44266-3031. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rosenberg, David Alan can be contacted via phone (330) 297-7009.

Contact Information

Primary practice address
250 S Chestnut St Ste 30 Ravenna OH 44266-3031
Fax: (330) 297-0901
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18818 Ohio

Profile Details

NPI number 1598811283
LBN Legal business name Rosenberg, David Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 20th, 2014 - about 12 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 1598811283 NPPES
Ohio MEDICAID 703475

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