Dr. Larry Allen Rosenberg
Podiatrist
2024 Lindberg Rd
Anderson
, Indiana 46012-2716
Dr. Larry Allen Rosenberg
Podiatrist
2024 Lindberg Rd
Anderson
, Indiana 46012-2716
(317) 773-2226
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Larry Allen Rosenberg
- 7301 E 90th St Suite 112
- Indianapolis, IN
- Zip : 46256-7206
- Fax : (317) 773-2226
- Phone : (317) 773-7787
Second Address
- Dr. Larry Allen Rosenberg
- 2024 Lindberg Rd
- Anderson, IN
- Zip : 46012-2716
- Fax : (765) 640-0079
- Phone : (765) 643-2987
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000459A | IN |
| Y | 222Z00000X | Podiatrist | 07000459A | IN |
National Provider Identifier
| NPI | 1043366594 |
|---|---|
| Provider Name | Dr. Larry Allen Rosenberg |
| First Address | Indianapolis, IN 46256-7206 |
| Second Address | Anderson, IN 46012-2716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 14/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100172400A | (05) | IN |
| 508770010 | MEDICARE (01) | |
| T34894 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.