Provider Demographics
NPI:1942840202
Name:ROTHLISBERGER, FREDERICK SCOTT (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:SCOTT
Last Name:ROTHLISBERGER
Suffix:
Gender:M
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 S. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804
Mailing Address - Country:US
Mailing Address - Phone:567-271-1599
Mailing Address - Fax:419-423-6464
Practice Address - Street 1:1918 NORTH MAIN
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:567-271-1599
Practice Address - Fax:419-423-6464
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management