Rother, Jeannine Marie

Rother, Jeannine Marie is an individual health care provider with primary practice located at 121 Everett Road , Albany NY 12205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rother, Jeannine Marie can be contacted via phone (518) 453-9088.

Contact Information

Primary practice address
121 Everett Road Albany NY 12205
Phone: (518) 453-9088
Fax: (518) 689-3895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009978-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1245209261
LBN Legal business name Rother, Jeannine Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 16th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245209261 NPPES
New York MEDICAID 03094153

Popular Providers