Individual
ADAM BENJAMIN ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1711 N 56TH ST, OMAHA, NE 68104-4906
(732) 742-2596
Mailing address
1711 N 56TH STREET, OMAHA, NE 68182
(402) 554-2057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
737
NE
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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