Rodin, Dennis M.
Rodin, Dennis M. is an individual health care provider with primary practice located at 1211 W Main St , Waterbury CT 06708-3106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rodin, Dennis M. can be contacted via phone (203) 755-0163.Contact Information
Primary practice address
1211 W Main St
Waterbury CT 06708-3106
Phone: (203) 755-0163
Fax: (203) 753-3415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | 040418 | Connecticut |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 040418 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 040418 | Connecticut |
Profile Details
| NPI number | 1093816969 |
|---|---|
| LBN Legal business name | Rodin, Dennis M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Mar 25th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093816969 | NPPES |
| Connecticut | MEDICAID | 001404186 | |
| Connecticut | Other | 040418 | |
| Connecticut | Other | 2V2068 | |
| Connecticut | Other | P2679357 | |
| Connecticut | Other | 2522042 | |
| Connecticut | Other | 010040418CT01 |
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