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
Phone: (480) 502-6651
Fax: (480) 513-8253
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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