Rotskoff, Kenneth S
Rotskoff, Kenneth S is an sole proprietor health care provider with primary practice located at 1034 S Brentwood Blvd Suite 1010, Saint Louis MO 63117-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Rotskoff, Kenneth S can be contacted via phone (314) 721-1010.Contact Information
Primary practice address
1034 S Brentwood Blvd Suite 1010
Saint Louis MO 63117-1223
Phone: (314) 721-1010
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 011149 | Missouri |
Profile Details
NPI number | 1578777280 |
---|---|
LBN Legal business name | Rotskoff, Kenneth S |
Credentials | MD,DDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1578777280 | NPPES |
Missouri | Other | 011149 | DENTAL LICENSE |
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