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Contact Information

JEFFREY V ROSENBERG, DO
109 HOSPITAL LN
AFTON, WY83110
 Phone: 307-886-5665
 Fax: 307-886-5665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY V ROSENBERG · (Male)

NPI Number 1306860531
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/27/2006
Last updated 03/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # DO24758
  • WY Medicaid 1306860531
  • WY Other BSWY 315435
Hospital affiliation(s)
  • EASTERN IDAHO REGIONAL MEDICAL CENTER - (Acute Care)
    3100 CHANNING WAY
    IDAHO FALLS, ID 83404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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