Rotberg, Leemor Basse

Rotberg, Leemor Basse is an individual health care provider with primary practice located at 22731 Newman Street Suite 245, Dearborn MI 48124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Rotberg, Leemor Basse can be contacted via phone (313) 561-1777.

Contact Information

Primary practice address
22731 Newman Street Suite 245 Dearborn MI 48124
Fax: (313) 561-8044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301078090 Michigan

Profile Details

NPI number 1538121504
LBN Legal business name Rotberg, Leemor Basse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Oct 23rd, 2020 - about 4 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 1538121504 NPPES
Michigan MEDICAID 4761675

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