Rosenberg, Ethan

Rosenberg, Ethan is an individual health care provider with primary practice located at 13123 E 16Th Ave , Aurora CO 80045-7106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Rosenberg, Ethan can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 E 16Th Ave Aurora CO 80045-7106
Phone: (720) 777-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD61053243 Washington
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MD61053243 Washington
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 125066820 Illinois
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X DR.0066499 Colorado

Profile Details

NPI number 1831585041
LBN Legal business name Rosenberg, Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Sep 23rd, 2021 - 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 1831585041 NPPES
Washington MEDICAID 1831585041

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