Rollins, Thomas Eugene

Rollins, Thomas Eugene is an individual health care provider with primary practice located at 20508 Southgate Park Blvd , Maple Heights OH 44137-2900. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rollins, Thomas Eugene can be contacted via phone (216) 663-2292.

Contact Information

Primary practice address
20508 Southgate Park Blvd Maple Heights OH 44137-2900
Phone: (216) 663-2292
Fax: (216) 663-2294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18998 Ohio

Profile Details

NPI number 1659334811
LBN Legal business name Rollins, Thomas Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 20th, 2014 - about 10 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 1659334811 NPPES
Ohio Other 341940255034 CARESOURCE
Ohio MEDICAID 765748 CARESOURCE

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