Rosenberg, Matthew Jared
Rosenberg, Matthew Jared is an sole proprietor health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rosenberg, Matthew Jared can be contacted via phone (910) 581-6624.Contact Information
Primary practice address
1060 W Perimeter Rd
Jb Andrews MD 20762-6602
Phone: (910) 581-6624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1033414669 |
|---|---|
| LBN Legal business name | Rosenberg, Matthew Jared |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Sep 23rd, 2021 - about 4 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 | 1033414669 | NPPES |
| Other | 1243697340 | ACTIVE DUTY MILITARY |
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