Rotar, Scott J

Rotar, Scott J is an individual health care provider with primary practice located at 240 Maple St , Woodruff WI 54568-0470. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Rotar, Scott J can be contacted via phone (715) 892-4835.

Contact Information

Primary practice address
240 Maple St Woodruff WI 54568-0470
Phone: (715) 892-4835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 127205-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 051474 Wisconsin

Profile Details

NPI number 1376586099
LBN Legal business name Rotar, Scott J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 12th, 2022 - about 3 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 1376586099 NPPES
Wisconsin MEDICAID 43401700

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