MATT T ROSENBERG PC NPI 1063692556

NPI Information

  • NPI: 1063692556
  • Provider Name: MATT T ROSENBERG PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MID-MICHIGAN HEALTH CENTERS
  • Address: 214 N WEST AVE
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 784-9189

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NPI Details

MATT T ROSENBERG PC is a family medicine in Jackson, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MATT T ROSENBERG PC NPI is 1063692556. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid-michigan Health Centers.

The provider's business location address is:

214 N WEST AVE
JACKSON, MI
ZIP 49201-903
Phone: (517) 784-9189
Fax: (517) 784-9657

The provider's authorized official is Matt Rosenberg .
The authorized official title is President and has the following contact phone number (517) 784-9189.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/1/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301065227MICHIGANYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F23068MEDICARE UPIN
23388780MEDICAIDMICHIGAN
30N94000MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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