Rotich, Mark Kiplagat

Rotich, Mark Kiplagat is an individual health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Rotich, Mark Kiplagat can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 997-5311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036114602 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2004001657 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036114602 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-114602 Illinois

Profile Details

NPI number 1659393601
LBN Legal business name Rotich, Mark Kiplagat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 21st, 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 1659393601 NPPES
Kentucky MEDICAID 7100154060
Kentucky MEDICAID 036114602
Kentucky MEDICAID 036114602-7

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