Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 036-121969 | IL |
Y | 207RA0201X | Internist - Allergy & Immunology | 32611020 | WI |
NPI | 1528077971 |
---|---|
Provider Name | Amelia R Rojas |
First Address | Beloit, WI 35311-1842 |
Second Address | Beloit, WI 35311-1842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 20/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528077971 | (05) | WI |
E96085 | (02) |