Eccles Rotar, Deanne K

Eccles Rotar, Deanne K is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Eccles Rotar, Deanne K can be contacted via phone (608) 371-8000.

Contact Information

Primary practice address
3200 E Racine St Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40546-020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 40546-020 Wisconsin

Profile Details

NPI number 1932163110
LBN Legal business name Eccles Rotar, Deanne K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 11th, 2020 - about 6 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 1932163110 NPPES
Wisconsin MEDICAID 1932163110

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