Rothenberg, Joan O

Rothenberg, Joan O is an individual health care provider with primary practice located at 18181 Pearl Rd , Strongsville OH 44136-6949. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Rothenberg, Joan O can be contacted via phone (440) 816-6414.

Contact Information

Primary practice address
18181 Pearl Rd Strongsville OH 44136-6949
Fax: (440) 816-6421
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 35043347R Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-043347 Ohio

Profile Details

NPI number 1033158662
LBN Legal business name Rothenberg, Joan O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 5th, 2012 - about 13 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 1033158662 NPPES
Ohio MEDICAID 0450006
Ohio Other P00949838

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