Rotert, Mark Andrew
Rotert, Mark Andrew is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rotert, Mark Andrew can be contacted via phone (815) 788-2018.Contact Information
Primary practice address
420 N Il Route 31
Crystal Lake IL 60012
Phone: (815) 788-2018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2013013779 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209019035 | Illinois |
Profile Details
| NPI number | 1326483280 |
|---|---|
| LBN Legal business name | Rotert, Mark Andrew |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2013 |
| Last updated | Nov 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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