Rotman, Richard K

Rotman, Richard K is an individual health care provider with primary practice located at 710 Kenmoor Ave Se Suite 100, Grand Rapids MI 49546-2379. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rotman, Richard K can be contacted via phone (616) 977-4852.

Contact Information

Primary practice address
710 Kenmoor Ave Se Suite 100 Grand Rapids MI 49546-2379
Phone: (616) 977-4852
Fax: (616) 954-0659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301035323 Michigan

Profile Details

NPI number 1487655577
LBN Legal business name Rotman, Richard K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 23rd, 2012 - about 12 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 1487655577 NPPES
Michigan Other 830001755 RR MEDICARE

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