Individual
JOSEPH ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
824 LINCOLNWAY, LOFT #2, LA PORTE, IN 46350-3411
(219) 380-5724
(219) 575-7345
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
(219) 531-0859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02001043A
IN
207RC0000X
Cardiovascular Disease Physician
02001043A
IN
207RI0011X
Interventional Cardiology Physician
02001043A
IN
2085R0204X
Vascular & Interventional Radiology Physician
02001043A
IN
2085U0001X
Diagnostic Ultrasound Physician
02001043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000540070
ANTHEM, BCBS
IN
01
—
000000792854
ANTHEM
IN
05
—
100356180
—
IN
05
—
100356180A
—
ID
Enumeration date
09/16/2005
Last updated
02/09/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us