Roter, Elisabeth S

Roter, Elisabeth S is an individual health care provider with primary practice located at 9000 Mentor Ave Ste 105 , Mentor OH 44060-4497. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Roter, Elisabeth S can be contacted via phone (440) 947-4404.

Contact Information

Primary practice address
9000 Mentor Ave Ste 105 Mentor OH 44060-4497
Fax: (440) 947-4419
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35078189 Ohio
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35078189 Ohio

Profile Details

NPI number 1548366370
LBN Legal business name Roter, Elisabeth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 13th, 2021 - 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 1548366370 NPPES
Ohio MEDICAID 2182810

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