Rothenberger, David A
Rothenberger, David A is an individual health care provider with primary practice located at 516 Delaware St Se Pwb - First Floor, Clinic 1-E, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Rothenberger, David A can be contacted via phone (612) 626-1999.Contact Information
Primary practice address
516 Delaware St Se Pwb - First Floor, Clinic 1-E
Minneapolis MN 55455-0356
Phone: (612) 626-1999
Fax: (612) 626-0654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 21999 | Minnesota |
Profile Details
| NPI number | 1285704916 |
|---|---|
| LBN Legal business name | Rothenberger, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jun 8th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285704916 | NPPES |
| Minnesota | Other | 0010839 | PREFERRED ONE |
| Minnesota | Other | 14-22591 | PREFERRED ONE |
| Minnesota | Other | 100428 | PREFERRED ONE |
| Minnesota | Other | 01T37RO | PREFERRED ONE |
| Minnesota | MEDICAID | 0973602 | PREFERRED ONE |
| Minnesota | Other | HP14281 | PREFERRED ONE |
| Minnesota | Other | 14-00032 | PREFERRED ONE |
| Minnesota | MEDICAID | 683595300 | PREFERRED ONE |
| Minnesota | Other | 768328 | PREFERRED ONE |
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