Rothman, Kenneth Michael

Rothman, Kenneth Michael is an sole proprietor health care provider with primary practice located at 1061 E Indiantown Rd Suite 311, Jupiter FL 33477-5104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rothman, Kenneth Michael can be contacted via phone (561) 575-0323.

Contact Information

Primary practice address
1061 E Indiantown Rd Suite 311 Jupiter FL 33477-5104
Phone: (561) 575-0323
Fax: (561) 575-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2560 Florida
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY2560 Florida

Profile Details

NPI number 1134129307
LBN Legal business name Rothman, Kenneth Michael
Credentials D,ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 9th, 2007 - about 19 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 1134129307 NPPES
Florida Other 73738 BCBS

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