Individual
MARY ROSENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955
Mailing address
1350 CEDAR CT, CARBONDALE, IL 62901-5336
(618) 529-2955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-001667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-001667
STATE LICENSE NUMBER
IL
Enumeration date
06/04/2006
Last updated
10/23/2008
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