Rosenberg, Wade Ronald
Rosenberg, Wade Ronald is an individual health care provider with primary practice located at 6560 Fannin St Suite 1750, Houston TX 77030-2761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rosenberg, Wade Ronald can be contacted via phone (713) 790-4830.Contact Information
Primary practice address
6560 Fannin St Suite 1750
Houston TX 77030-2761
Phone: (713) 790-4830
Fax: (713) 793-7824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G0029 | Texas |
Profile Details
| NPI number | 1881694404 |
|---|---|
| LBN Legal business name | Rosenberg, Wade Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jan 17th, 2017 - about 9 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 | 1881694404 | NPPES |
| Texas | MEDICAID | 124931002 | |
| Texas | Other | P01263888 | |
| Texas | MEDICAID | 124931005 | |
| Texas | Other | 8GD960 | |
| Texas | Other | 89819B | |
| Texas | Other | 8DW161 |
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