Rosenberg, Jack Michael

Rosenberg, Jack Michael is an individual health care provider with primary practice located at 325 E Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-3364. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Rosenberg, Jack Michael can be contacted via phone (734) 936-7175.

Contact Information

Primary practice address
325 E Eisenhower Pkwy Suite 100 Ann Arbor MI 48108-3364
Phone: (734) 936-7175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301051728 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301051728 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301051728 Michigan

Profile Details

NPI number 1104912450
LBN Legal business name Rosenberg, Jack Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 5th, 2009 - 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 1104912450 NPPES
Michigan MEDICAID 3069240

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