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Individual

MRS. JANE M ROSENGARTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BC-HIS

Contact information

Practice address
125 W MAIN ST, OTTAWA, OH 45875-1773
(419) 523-6916
(419) 523-3845
Mailing address
125 W MAIN ST, OTTAWA, OH 45875-1773
(419) 523-6916
(419) 523-3845

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
01440
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209590
OH
01
341669370
TAX ID
OH
Enumeration date
11/29/2006
Last updated
08/27/2015
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