Roselle, Gary Lee
Roselle, Gary Lee is an individual health care provider with primary practice located at 3223 Eden & Albert Sabin , Cincinnati OH 45267-0405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Roselle, Gary Lee can be contacted via phone (513) 584-6868.Contact Information
Primary practice address
3223 Eden & Albert Sabin
Cincinnati OH 45267-0405
Phone: (513) 584-6868
Fax: (513) 584-6040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-036345 | Ohio |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35-036345 | Ohio |
Profile Details
| NPI number | 1861450512 |
|---|---|
| LBN Legal business name | Roselle, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Aug 10th, 2017 - about 9 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 | 1861450512 | NPPES |
| Kentucky | MEDICAID | 64761349 | |
| Kentucky | MEDICAID | 0377131 | |
| Kentucky | MEDICAID | 200147030 |
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