Rozene, Tina M

Rozene, Tina M is an individual health care provider with primary practice located at 300 N Maple St , Effingham IL 62401-2003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Rozene, Tina M can be contacted via phone (217) 342-4151.

Contact Information

Primary practice address
300 N Maple St Effingham IL 62401-2003
Phone: (217) 342-4151
Fax: (217) 347-0108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036094764 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036094764 Illinois

Profile Details

NPI number 1467489807
LBN Legal business name Rozene, Tina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 20th, 2020 - about 5 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 1467489807 NPPES
Illinois MEDICAID 036094764
Illinois Other 054508
Illinois Other 2523659
Illinois Other 386900
Illinois Other 370012295

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