Provider Demographics
NPI:1942334297
Name:HAL ROSENBERG LTD
Entity Type:Organization
Organization Name:HAL ROSENBERG LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ROSENBEG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW,MSSW,MASC,ACSW
Authorized Official - Phone:608-833-4990
Mailing Address - Street 1:7818 BIG SKY DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3524
Mailing Address - Country:US
Mailing Address - Phone:608-833-4990
Mailing Address - Fax:
Practice Address - Street 1:7818 BIG SKY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3524
Practice Address - Country:US
Practice Address - Phone:608-833-4990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI934101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42217800Medicaid
WI=========Medicare UPIN
WI44405Medicare ID - Type Unspecified