Amisola, Rogelio Virgilio B
Amisola, Rogelio Virgilio B is an individual health care provider with primary practice located at 1425 N Fairfield Rd. 120, Beavercreek OH 45432-4543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Amisola, Rogelio Virgilio B can be contacted via phone (937) 320-8888.Contact Information
Primary practice address
1425 N Fairfield Rd. 120
Beavercreek OH 45432-4543
Phone: (937) 320-8888
Fax: (937) 320-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35-08-4304 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-08-4304 | Ohio |
Profile Details
| NPI number | 1336106111 |
|---|---|
| LBN Legal business name | Amisola, Rogelio Virgilio B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Oct 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336106111 | NPPES |
| Ohio | MEDICAID | 2507246 |
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