Rozelle, Richard W

Rozelle, Richard W is an individual health care provider with primary practice located at 5175 Plainfield Ave Ne , Grand Rapids MI 49525-1048. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Rozelle, Richard W can be contacted via phone (616) 363-9833.

Contact Information

Primary practice address
5175 Plainfield Ave Ne Grand Rapids MI 49525-1048
Phone: (616) 363-9833
Fax: (616) 363-9701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001069 Michigan

Profile Details

NPI number 1528094257
LBN Legal business name Rozelle, Richard W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528094257 NPPES
Michigan Other 1266510002 ADMINISTAR
Michigan MEDICAID 3506847 ADMINISTAR
Michigan Other 480026387 ADMINISTAR

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