Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 24189 | AL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 64093 | TN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | C136361 | CA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 64093 | TN |
NPI | 1265457287 |
---|---|
Provider Name | Eben L Rosenthal |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 16/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009933845 | (05) | AL |
009966080 | (05) | AL |
051503330 | (05) | AL |
051503330 | BLUE CROSS (01) | AL |
051503331 | BLUE CROSS (01) | AL |
051518021 | BLUE CROSS (01) | AL |
20049897 | RAILROAD MEDICARE (01) | AL |