Rothbaum, Michael A
Rothbaum, Michael A is an individual health care provider with primary practice located at 18077 River Rd Ste 103 , Noblesville IN 46062-8311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rothbaum, Michael A can be contacted via phone (317) 773-5153.Contact Information
Primary practice address
18077 River Rd Ste 103
Noblesville IN 46062-8311
Phone: (317) 773-5153
Fax: (317) 773-6452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01060465A | Indiana |
Profile Details
| NPI number | 1154387611 |
|---|---|
| LBN Legal business name | Rothbaum, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 15th, 2017 - about 9 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 | 1154387611 | NPPES |
| Indiana | MEDICAID | 200544180 |
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