Rogotzke, Kenneth H

Rogotzke, Kenneth H is an individual health care provider with primary practice located at 2900 Lamb Cir , Christiansburg VA 24073-6344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Rogotzke, Kenneth H can be contacted via phone (540) 731-7600.

Contact Information

Primary practice address
2900 Lamb Cir Christiansburg VA 24073-6344
Fax: (540) 633-0125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 30237 Minnesota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 1768 South Dakota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0102203300 Virginia

Profile Details

NPI number 1275539132
LBN Legal business name Rogotzke, Kenneth H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 8th, 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 1275539132 NPPES
Minnesota MEDICAID 273383800
Minnesota MEDICAID 6520173

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