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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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