Provider Demographics
NPI:1588323067
Name:ROSENBERGER, JOSHUA ALAN (HIS)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ALAN
Last Name:ROSENBERGER
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-0937
Mailing Address - Country:US
Mailing Address - Phone:207-573-0915
Mailing Address - Fax:
Practice Address - Street 1:40 NORTH ST STE 5
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2269
Practice Address - Country:US
Practice Address - Phone:207-573-0915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDL442237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist