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Contact Information

GEORGE J ROSENBAUM, DIPL. AC., LAC.
10074 W FAIRVIEW AVE STE 150
BOISE, ID83704-5002
 Phone: 540-878-6041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for GEORGE J ROSENBAUM · (Male)

NPI Number 1205429693
Status Active
Credentials DIPL. AC., LAC.
Entity Individual
Enumeration date 02/16/2021
Last updated 02/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ID License # ACU-408
Hospital affiliation(s) Not Available
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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