Rothstein, Mark William

Rothstein, Mark William is an sole proprietor health care provider with primary practice located at 6507 Edenvale Rd , Baltimore MD 21209-3303. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Rothstein, Mark William can be contacted via phone (410) 982-6670.

Contact Information

Primary practice address
6507 Edenvale Rd Baltimore MD 21209-3303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 01451 Maryland

Profile Details

NPI number 1467562389
LBN Legal business name Rothstein, Mark William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jun 1st, 2015 - about 9 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 1467562389 NPPES
Arizona Other AZ0194730 BCBS
Arizona MEDICAID 423468 BCBS

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