Rodstrom, Robert Edward

Rodstrom, Robert Edward is an individual health care provider with primary practice located at 1451 Yauger Rd. 1F , Mount Vernon OH 43050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rodstrom, Robert Edward can be contacted via phone (740) 397-8500.

Contact Information

Primary practice address
1451 Yauger Rd. 1F Mount Vernon OH 43050
Fax: (740) 397-8527
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35035740 Ohio

Profile Details

NPI number 1972684173
LBN Legal business name Rodstrom, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972684173 NPPES
Ohio MEDICAID 0306467

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