Rothman, Michael Ian
Rothman, Michael Ian is an individual health care provider with primary practice located at 870 Wafford Lane , Bethlehem PA 18017-3876. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rothman, Michael Ian can be contacted via phone (216) 255-5700.Contact Information
Primary practice address
870 Wafford Lane
Bethlehem PA 18017-3876
Phone: (216) 255-5700
Fax: (216) 255-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036078872 | Illinois |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | D0036911 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD039205E | Pennsylvania |
Profile Details
| NPI number | 1952309213 |
|---|---|
| LBN Legal business name | Rothman, Michael Ian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1952309213 | NPPES |
| Pennsylvania | Other | MD039205E | LICENSE |
| Pennsylvania | MEDICAID | 0017172610016 | LICENSE |
| Pennsylvania | Other | 021449XRE | LICENSE |
| Pennsylvania | Other | 043597 | LICENSE |
| Pennsylvania | Other | 881901 | LICENSE |
| Pennsylvania | MEDICAID | 1012411910001 | LICENSE |
| Pennsylvania | MEDICAID | 8962103 | LICENSE |
| Pennsylvania | Other | C1-0007404 | LICENSE |
| Pennsylvania | Other | 239105-1 | LICENSE |
| Pennsylvania | Other | 25MA08035800 | LICENSE |
| Pennsylvania | MEDICAID | 02906701 | LICENSE |
| Pennsylvania | Other | D003691 | LICENSE |
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