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NPI Code Detail

MEDICARE: MICHAEL MATTHEW ROSEN PCC

MEDICARE: MICHAEL MATTHEW ROSEN PCC
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
1101YP2500XProfessional CounselorE.0900274OH

General Provider Information

NPI Number : 1427490085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MATTHEW ROSEN PCC
Provider Business Mailing Address
First Line : 830 EZZARD CHARLES DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-2525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 NORTHLAND BLVD
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-3248
Country : US
Telephone Number : 513-941-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2013
Last Update Date : 04/04/2022

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Directions to “ MICHAEL MATTHEW ROSEN PCC” Practice Location

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