Roderer, Stephen William

Roderer, Stephen William is an individual health care provider with primary practice located at 5775 N Meadows Dr Ste D , Grove City OH 43123-7300. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Roderer, Stephen William can be contacted via phone (614) 224-4200.

Contact Information

Primary practice address
5775 N Meadows Dr Ste D Grove City OH 43123-7300
Phone: (614) 224-4200
Fax: (614) 224-4207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35.127897 Ohio

Profile Details

NPI number 1225455249
LBN Legal business name Roderer, Stephen William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated May 20th, 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 1225455249 NPPES
Ohio Other 35.127897 STATE LICENSE NUMBER

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