Rosenblum, Stacy R
Rosenblum, Stacy R is an individual health care provider with primary practice located at 3319 State Road 7 Ste 110, Wellington FL 33449-8094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Rosenblum, Stacy R can be contacted via phone (561) 784-7884.Contact Information
Primary practice address
3319 State Road 7 Ste 110
Wellington FL 33449-8094
Phone: (561) 784-7884
Fax: (561) 784-7884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 006121 | Arizona |
Profile Details
| NPI number | 1609218965 |
|---|---|
| LBN Legal business name | Rosenblum, Stacy R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2013 |
| Last updated | Oct 27th, 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 | 1609218965 | NPPES |
| Arizona | MEDICAID | 835513 |
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