Roettger, Richard H.

Roettger, Richard H. is an individual health care provider with primary practice located at 12266 De Paul Dr Ste 305 , Bridgeton MO 63044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Roettger, Richard H. can be contacted via phone (314) 770-0991.

Contact Information

Primary practice address
12266 De Paul Dr Ste 305 Bridgeton MO 63044
Phone: (314) 770-0991
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2014006605 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 23291 South Carolina
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2014006605 Missouri

Profile Details

NPI number 1932150638
LBN Legal business name Roettger, Richard H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 26th, 2020 - about 5 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 1932150638 NPPES
South Carolina MEDICAID N01002
South Carolina Other 020052517
South Carolina Other 4279822
South Carolina Other 576007863077
South Carolina Other 3087952

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