Roethel, William M

Roethel, William M is an sole proprietor health care provider with primary practice located at 601 Martin Luther King Ave Ne , Albuquerque NM 87102-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Roethel, William M can be contacted via phone (505) 727-8000.

Contact Information

Primary practice address
601 Martin Luther King Ave Ne Albuquerque NM 87102-3619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301054529 Michigan

Profile Details

NPI number 1669433017
LBN Legal business name Roethel, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jul 10th, 2008 - about 16 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 1669433017 NPPES
Michigan MEDICAID 103311354
Michigan Other WR054529

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