Rodin, Peter J.

Rodin, Peter J. is an individual health care provider with primary practice located at 15200 Kercheval Ave , Grosse Pointe Park MI 48230-1356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodin, Peter J. can be contacted via phone (313) 417-6100.

Contact Information

Primary practice address
15200 Kercheval Ave Grosse Pointe Park MI 48230-1356
Phone: (313) 417-6100
Fax: (313) 417-6107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101008434 Michigan

Profile Details

NPI number 1225039597
LBN Legal business name Rodin, Peter J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 23rd, 2020 - about 4 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 1225039597 NPPES
Michigan MEDICAID 2907618

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