Botkin, Robert

Botkin, Robert is an individual health care provider with primary practice located at 272 Medical Loop Suite C, Roseburg OR 97471. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Botkin, Robert can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
272 Medical Loop Suite C Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730590126
LBN Legal business name Botkin, Robert
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Oct 23rd, 2015 - about 10 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 1730590126 NPPES
Oregon MEDICAID 500671880

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