Rotan, Edward Earl
Rotan, Edward Earl is an individual health care provider with primary practice located at 715 N Fielder Rd , Arlington TX 76012-4695. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rotan, Edward Earl can be contacted via phone (817) 261-1626.Contact Information
Primary practice address
715 N Fielder Rd
Arlington TX 76012-4695
Phone: (817) 261-1626
Fax: (817) 275-0441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A91946 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A91946 | California |
Profile Details
| NPI number | 1780734582 |
|---|---|
| LBN Legal business name | Rotan, Edward Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 3rd, 2022 - about 2 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 | 1780734582 | NPPES |
| California | Other | 00A919461 | INDIVIDUAL PTAN NO. CA. |
| California | Other | P00375737 | INDIVIDUAL PTAN NO. CA. |
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