Rothstein, Larry Robert

Rothstein, Larry Robert is an sole proprietor health care provider with primary practice located at 1030 Harrington St Suite 101, Mount Clemens MI 48043-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rothstein, Larry Robert can be contacted via phone (586) 468-8500.

Contact Information

Primary practice address
1030 Harrington St Suite 101 Mount Clemens MI 48043-2967
Fax: (586) 468-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X LR009607 Michigan

Profile Details

NPI number 1508848748
LBN Legal business name Rothstein, Larry Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Dec 15th, 2009 - about 15 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 1508848748 NPPES
Michigan MEDICAID 2952023

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