Rothstein, Micah W

Rothstein, Micah W is an individual health care provider with primary practice located at 1400 Dry Creek Dr , Longmont CO 80503-6505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Rothstein, Micah W can be contacted via phone (303) 772-3300.

Contact Information

Primary practice address
1400 Dry Creek Dr Longmont CO 80503-6505
Phone: (303) 772-3300
Fax: (303) 682-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 43772 Colorado
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 43772 Colorado

Profile Details

NPI number 1104902683
LBN Legal business name Rothstein, Micah W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 10th, 2018 - about 7 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 1104902683 NPPES
Colorado MEDICAID 38605236

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