Rothberg, Jill Erin

Rothberg, Jill Erin is an individual health care provider with primary practice located at 3333 Chanate Rd , Santa Rosa CA 95404-1707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rothberg, Jill Erin can be contacted via phone (707) 565-4919.

Contact Information

Primary practice address
3333 Chanate Rd Santa Rosa CA 95404-1707
Phone: (707) 565-4919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A069666 California

Profile Details

NPI number 1811044407
LBN Legal business name Rothberg, Jill Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 18th, 2014 - about 10 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 1811044407 NPPES
California MEDICAID 000004900

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