Rodman, Elise
Rodman, Elise is an individual health care provider with primary practice located at 2 Essex Center Drive , Peabody MA 01960. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rodman, Elise can be contacted via phone (978) 532-6111.Contact Information
Primary practice address
2 Essex Center Drive
Peabody MA 01960
Phone: (978) 532-6111
Fax: (978) 532-6123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48903 | Massachusetts |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 48903 | Massachusetts |
Profile Details
| NPI number | 1720045719 |
|---|---|
| LBN Legal business name | Rodman, Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720045719 | NPPES |
| Massachusetts | MEDICAID | 3105237 |
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