Rotman, Mitchell Bruce
Rotman, Mitchell Bruce is an sole proprietor health care provider with primary practice located at 14825 N Outer 40 Rd Ste 200, Chesterfield MO 63017-2152. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rotman, Mitchell Bruce can be contacted via phone (314) 336-2555.Contact Information
Primary practice address
14825 N Outer 40 Rd Ste 200
Chesterfield MO 63017-2152
Phone: (314) 336-2555
Fax: (314) 336-2640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R3L27 | Missouri |
Profile Details
| NPI number | 1477555662 |
|---|---|
| LBN Legal business name | Rotman, Mitchell Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 20th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477555662 | NPPES |
| Missouri | MEDICAID | 202833513 |
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