Rothrock, Douglas Wayne
Rothrock, Douglas Wayne is an individual health care provider with primary practice located at 242 Whipple St , Prescott AZ 86301-1787. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rothrock, Douglas Wayne can be contacted via phone (928) 708-9355.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26235 | Arizona |
Profile Details
| NPI number | 1265472138 |
|---|---|
| LBN Legal business name | Rothrock, Douglas Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Apr 1st, 2020 - about 5 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 | 1265472138 | NPPES |
| Arizona | MEDICAID | 438780 |
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