Provider Demographics
NPI:1427362748
Name:ROSENGARTEN, JOSEPH S (BC-HIS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:ROSENGARTEN
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8141 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1749
Mailing Address - Country:US
Mailing Address - Phone:937-280-4212
Mailing Address - Fax:
Practice Address - Street 1:8141 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1749
Practice Address - Country:US
Practice Address - Phone:937-280-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2651237700000X
IN17001240A237700000X
KYKY-0892237700000X
MI3501004770237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist