Roter, Elisabeth S
Roter, Elisabeth S is an individual health care provider with primary practice located at 9000 Mentor Ave Ste 105 , Mentor OH 44060-4497. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Roter, Elisabeth S can be contacted via phone (440) 947-4404.Contact Information
Primary practice address
9000 Mentor Ave Ste 105
Mentor OH 44060-4497
Phone: (440) 947-4404
Fax: (440) 947-4419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35078189 | Ohio |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 35078189 | Ohio |
Profile Details
| NPI number | 1548366370 |
|---|---|
| LBN Legal business name | Roter, Elisabeth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 13th, 2021 - about 5 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 | 1548366370 | NPPES |
| Ohio | MEDICAID | 2182810 |
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