Rozene, Tina M
Rozene, Tina M is an individual health care provider with primary practice located at 300 N Maple St , Effingham IL 62401-2003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Rozene, Tina M can be contacted via phone (217) 342-4151.Contact Information
Primary practice address
300 N Maple St
Effingham IL 62401-2003
Phone: (217) 342-4151
Fax: (217) 347-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036094764 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036094764 | Illinois |
Profile Details
| NPI number | 1467489807 |
|---|---|
| LBN Legal business name | Rozene, Tina M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | May 20th, 2020 - about 6 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 | 1467489807 | NPPES |
| Illinois | MEDICAID | 036094764 | |
| Illinois | Other | 054508 | |
| Illinois | Other | 2523659 | |
| Illinois | Other | 386900 | |
| Illinois | Other | 370012295 |
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