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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154319838 NPPES
Missouri MEDICAID 302590302

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