Bantle, Roxana Gabriella

Bantle, Roxana Gabriella is an individual health care provider with primary practice located at 13925 Coalfield Commons Pl Ste 201 , Midlothian VA 23114-1225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bantle, Roxana Gabriella can be contacted via phone (804) 378-4420.

Contact Information

Primary practice address
13925 Coalfield Commons Pl Ste 201 Midlothian VA 23114-1225
Phone: (804) 378-4420
Fax: (804) 378-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101240121 Virginia

Profile Details

NPI number 1417906801
LBN Legal business name Bantle, Roxana Gabriella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 29th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417906801 NPPES
Virginia MEDICAID 010294568

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