Individual
PAUL S ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1373 E SR 62, MADISON, IN 47250
(812) 801-0848
(812) 801-0774
Mailing address
PO BOX 3395, EVANSVILLE, IN 47732-3395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01035954
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042209
ANTHEM BCBS
IN
05
—
100149010A
—
IN
01
—
1073893
PASSPORT KY MEDICAID
KY
01
—
200034109
MEDICARE RAILROAD
—
01
—
2435128000
PASSPORT ADVANTAGE
KY
01
—
410014P
SIHO
IN
01
—
4370893
AETNA
—
05
—
64759699
—
KY
Enumeration date
07/13/2006
Last updated
06/22/2018
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