Rosenthal, Richard Jay

Rosenthal, Richard Jay is an sole proprietor health care provider with primary practice located at 792 N Main St , Brockton MA 02301-2442. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Rosenthal, Richard Jay can be contacted via phone (508) 588-7245.

Contact Information

Primary practice address
792 N Main St Brockton MA 02301-2442
Phone: (508) 588-7245
Fax: (508) 586-6633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2315 Massachusetts

Profile Details

NPI number 1891790879
LBN Legal business name Rosenthal, Richard Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Mar 25th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891790879 NPPES
Massachusetts Other W20269 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0314013 BLUE CROSS BLUE SHIELD
Massachusetts Other 150443 BLUE CROSS BLUE SHIELD
Massachusetts Other 5948162 BLUE CROSS BLUE SHIELD
Massachusetts Other 725456 BLUE CROSS BLUE SHIELD
Massachusetts Other 000000025343 BLUE CROSS BLUE SHIELD
Massachusetts Other 0006620 BLUE CROSS BLUE SHIELD
Massachusetts Other E00046286677 BLUE CROSS BLUE SHIELD
Massachusetts Other W15649 BLUE CROSS BLUE SHIELD
Massachusetts Other PR51973800001 BLUE CROSS BLUE SHIELD

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