Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 36399 | MO |
NPI | 1043218415 |
---|---|
Provider Name | William Neil Rosenthal |
First Address | Kansas City, MO 64111-5961 |
Second Address | Kansas City, MO 64111-5961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 12/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14593019 | BLUECROSS KANSAS CITY (01) | MO |
180011639 | MEDICARE RAILROAD PIN (01) | MO |
180041080 | RAILROAD MEDICARE PIN (01) | KS |
495486 | BLUE CROSS KANSAS (01) | KS |
E24109 | (02) | MO |