| Rosenberger Llc | |
|
6500 E 2nd St Ste 101 Casper WY 82609-4339 | |
| (307) 462-4876 | |
| Not Available |
| Full Name | Rosenberger Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6500 E 2nd St Ste 101, Casper, Wyoming |
| Authorized Official Name and Position | Nicole Rosenberger (OWNER) |
| Authorized Official Contact | 3072773754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenberger Llc 1321 Warwick Casper WY 82609-3713 Ph: (307) 277-3754 | Rosenberger Llc 6500 E 2nd St Ste 101 Casper WY 82609-4339 Ph: (307) 462-4876 |
| NPI Number | 1164198347 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 4880090034 |
|---|---|
| Medicare Enrollment ID | O20210914000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164198347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole M Rosenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104097476 PECOS PAC ID: 7719064393 Enrollment ID: I20080418000077 |
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