Bothe, Denise Annette

Bothe, Denise Annette is an individual health care provider with primary practice located at 11100 Euclid Avenue Mailstop 6048, Cleveland OH 44106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bothe, Denise Annette can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Avenue Mailstop 6048 Cleveland OH 44106
Phone: (216) 844-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35072532 Ohio
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 35072532 Ohio

Profile Details

NPI number 1932389129
LBN Legal business name Bothe, Denise Annette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Aug 18th, 2011 - about 13 years ago

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 1932389129 NPPES
Ohio MEDICAID 2019078
Ohio Other 5159601
Ohio Other 000000233267
Ohio Other 000000558056
Ohio Other 439619

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