Rosenberg, Jerrold N

Rosenberg, Jerrold N is an sole proprietor health care provider with primary practice located at 827 N Main St Suite 6, Providence RI 02904-5751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Rosenberg, Jerrold N can be contacted via phone (401) 453-5030.

Contact Information

Primary practice address
827 N Main St Suite 6 Providence RI 02904-5751
Phone: (401) 453-5030
Fax: (401) 453-5033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD7222 Rhode Island
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD07222 Rhode Island

Profile Details

NPI number 1639175763
LBN Legal business name Rosenberg, Jerrold N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Sep 19th, 2013 - about 13 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 1639175763 NPPES
Rhode Island Other 1134 BCBSRI
Rhode Island MEDICAID 9001134 BCBSRI
Rhode Island Other 200688 BCBSRI
Rhode Island Other 1570/4122 BCBSRI

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