Rosenthal, Bethany T
Rosenthal, Bethany T is an individual health care provider with primary practice located at 1 Childrens Pl Ste 3110, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Rosenthal, Bethany T can be contacted via phone (314) 454-6026.Contact Information
Primary practice address
1 Childrens Pl Ste 3110
Saint Louis MO 63110-1002
Phone: (314) 454-6026
Fax: (866) 936-4559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2018014542 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2018014542 | Missouri |
Profile Details
| NPI number | 1760973101 |
|---|---|
| LBN Legal business name | Rosenthal, Bethany T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2018 |
| Last updated | Jun 20th, 2024 - about 2 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 | 1760973101 | NPPES |
| Missouri | MEDICAID | 310054310 |
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