Rosenberg, Mark Richard

Rosenberg, Mark Richard is an individual health care provider with primary practice located at 20950N Tatum Blvd 350 , Phoenix AZ 85050-4256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rosenberg, Mark Richard can be contacted via phone (480) 502-6651.

Contact Information

Primary practice address
20950N Tatum Blvd 350 Phoenix AZ 85050-4256
Fax: (480) 513-8253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2245 Arizona

Profile Details

NPI number 1598869687
LBN Legal business name Rosenberg, Mark Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Mar 16th, 2016 - about 10 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 1598869687 NPPES
Arizona Other P00633842 RAILROAD MEDICARE WEST DERM OF AZ
Arizona Other P00809240 RAILROAD MEDICARE WEST DERM OF AZ

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