Rotton, David Brent

Rotton, David Brent is an individual health care provider with primary practice located at 1500 E. Downing #103, Tahlequah OK 74464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rotton, David Brent can be contacted via phone (918) 207-1140.

Contact Information

Primary practice address
1500 E. Downing #103 Tahlequah OK 74464
Phone: (918) 207-1140
Fax: (918) 207-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 118997 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 3315 Oklahoma

Profile Details

NPI number 1548218803
LBN Legal business name Rotton, David Brent
Credentials DO, FACOS
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated May 18th, 2010 - about 16 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 1548218803 NPPES
Missouri Other 020043303 MEDICARE RAILROAD
Missouri MEDICAID 244688909 MEDICARE RAILROAD
Missouri Other CF9170 MEDICARE RAILROAD
Missouri MEDICAID 100102820A MEDICARE RAILROAD

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