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

Primary practice address
242 Whipple St Prescott AZ 86301-1787
Phone: (928) 708-9355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265472138 NPPES
Arizona MEDICAID 438780

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