Rolnick, Mark Lewis
Rolnick, Mark Lewis is an sole proprietor health care provider with primary practice located at 3270 Chester Blvd , Saint Charles MO 63301-4793. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rolnick, Mark Lewis can be contacted via phone (314) 567-1831.Contact Information
Primary practice address
3270 Chester Blvd
Saint Charles MO 63301-4793
Phone: (314) 567-1831
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016003222 | Illinois |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 525 | Missouri |
Profile Details
NPI number | 1154319838 |
---|---|
LBN Legal business name | Rolnick, Mark Lewis |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 7th, 2005 |
Last updated | Sep 21st, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154319838 | NPPES |
Missouri | MEDICAID | 302590302 |
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