1891952420 NPI number — ARTHUR ROSNER MD PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891952420 NPI number — ARTHUR ROSNER MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR ROSNER MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARTHUR ROSNER MD PLLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891952420
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1055 SOUTH BLVD E
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48307-5465
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-844-2936
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1055 SOUTH BLVD E
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
ROCHESTER HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48307-5465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-844-2936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ROSNER
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
JEFFREY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
248-844-2936

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  AR049123 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MI1121 . This is a "MEDICARE PTAN GROUP" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: MI1121001 . This is a "MEDICARE PTAN INDIVIDUAL" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1790781573 . This is a "INDIVIDUAL NPI" identifier . This identifiers is of the category "OTHER".




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