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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1578777280 NPPES
Missouri Other 011149 DENTAL LICENSE

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