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NPI Code Detail

MEDICARE: DR. JOHN C ROSEMAN JR. DPM

MEDICARE: DR. JOHN C ROSEMAN JR. DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist2640OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255327771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C ROSEMAN JR. DPM
Provider Business Mailing Address
First Line : 323 MARION AVE NW STE 101
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3639
Country : US
Telephone Number : 330-837-2700
Fax Number : 330-837-2707
Provider Business Practice Location Address
First Line : 323 MARION AVE NW STE 101
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3639
Country : US
Telephone Number : 330-837-2700
Fax Number : 330-837-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/02/2015

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Directions to “ DR. JOHN C ROSEMAN JR. DPM” Practice Location

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