Roh, Michael Soo

Roh, Michael Soo is an individual health care provider with primary practice located at 2902 Mcfarland Rd Suite 300, Rockford IL 61107-6801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Roh, Michael Soo can be contacted via phone (815) 316-2100.

Contact Information

Primary practice address
2902 Mcfarland Rd Suite 300 Rockford IL 61107-6801
Phone: (815) 316-2100
Fax: (815) 316-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036105970 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036105970 Illinois

Profile Details

NPI number 1548242712
LBN Legal business name Roh, Michael Soo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 31st, 2023 - about last year

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 1548242712 NPPES
Illinois MEDICAID 036105970 2

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