Provider Demographics
NPI:1730487398
Name:ROSIEK, PAUL JOHN
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:JOHN
Last Name:ROSIEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 E COUNTY LINE RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1067
Mailing Address - Country:US
Mailing Address - Phone:317-300-1240
Mailing Address - Fax:317-759-2558
Practice Address - Street 1:549 E COUNTY LINE RD
Practice Address - Street 2:SUITE F
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1067
Practice Address - Country:US
Practice Address - Phone:317-300-1240
Practice Address - Fax:317-759-2558
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist