ADDIE C ROSENBERGER PA-C NPI 1629582739

NPI Information

Addie C Rosenberger, PA-C is a medical physician assistant in Louisville, KY with 7 years of experience. Addie C Rosenberger, PA-C NPI is 1629582739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E CHESTNUT ST BLDG STE 303
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 629-5552
Fax: (502) 629-3132

The NPI 1629582739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2017 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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