Provider Demographics
NPI:1043818529
Name:ROSENTHAL, MICHELE (CH, CPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:CH, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 GREENWICH CIRCLE
Mailing Address - Street 2:#107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4809
Mailing Address - Country:US
Mailing Address - Phone:561-531-1405
Mailing Address - Fax:
Practice Address - Street 1:425 GREENWICH CIRCLE
Practice Address - Street 2:#107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4809
Practice Address - Country:US
Practice Address - Phone:561-531-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist