Rothis, Emanuel James

Rothis, Emanuel James is an individual health care provider with primary practice located at 22770 Kelly Rd , Eastpointe MI 48021-2009. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rothis, Emanuel James can be contacted via phone (586) 775-0520.

Contact Information

Primary practice address
22770 Kelly Rd Eastpointe MI 48021-2009
Phone: (586) 775-0520
Fax: (586) 775-2670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901007533 Michigan

Profile Details

NPI number 1720179823
LBN Legal business name Rothis, Emanuel James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1720179823 NPPES
Michigan Other 053109 FIRST COMMONWEALTH ID #
Michigan MEDICAID 4012430 FIRST COMMONWEALTH ID #
Michigan Other 0002091 FIRST COMMONWEALTH ID #

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