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Individual
DR. MELISA A. ROTHENBERGER
Active
Individual
DR. MELISA A. ROTHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009370
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532141
BLUE CROSS BLUE SHIELD
IL
01
—
11-3700523
TAX IDENTIFICATION NUMBER
IL
Enumeration date
08/01/2006
Last updated
06/05/2018
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