Rosenfeld, Glen
Rosenfeld, Glen is an individual health care provider with primary practice located at 41 Brewster Rd , Bristol CT 06010-5161. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Rosenfeld, Glen can be contacted via phone (860) 845-8570.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 041323 | Connecticut |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 41323 | Connecticut |
Profile Details
| NPI number | 1598753394 |
|---|---|
| LBN Legal business name | Rosenfeld, Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Oct 2nd, 2013 - about 13 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 | 1598753394 | NPPES |
| Connecticut | MEDICAID | 001413236 |
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