Rothbaum, Robert Jay

Rothbaum, Robert Jay is an individual health care provider with primary practice located at 747 52Nd Street Pediatric Gastroenterology, Hepatology And Nutrition, Oakland CA 94609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Rothbaum, Robert Jay can be contacted via phone (510) 428-3058.

Contact Information

Primary practice address
747 52Nd Street Pediatric Gastroenterology, Hepatology And Nutrition Oakland CA 94609
Phone: (510) 428-3058
Fax: (510) 450-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R8845 Missouri
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X R8845 Missouri
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X G158847 California

Profile Details

NPI number 1326066887
LBN Legal business name Rothbaum, Robert Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 5th, 2019 - about 6 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 1326066887 NPPES
Missouri MEDICAID 202032207
Missouri MEDICAID ENROLLED

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