Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | S-656-TA-176 | AL |
NPI | 1023038619 |
---|---|
Provider Name | Carol E Rosenstiel |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-1856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000040650 | (05) | AL |
051040650 | BLUE CROSS (01) | AL |
410039418 | RAILROAD MEDICARE (01) | AL |
925497 | BLOCK VISION (01) | AL |
T69050 | HEALTHSPRING OF ALABAMA (01) | AL |