Provider Demographics
NPI:1528077971
Name:ROJAS, AMELIA R (MD)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:R
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1905 E HUEBBE PARKWAY
Mailing Address - Street 2:BELOIT HEALTH SYSTEM INC
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:35311-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2240
Mailing Address - Fax:608-363-7374
Practice Address - Street 1:1905 E HUEBBE PARKWAY
Practice Address - Street 2:BELOIT HEALTH SYSTEM INC
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:35311-1842
Practice Address - Country:US
Practice Address - Phone:608-364-2240
Practice Address - Fax:608-363-7374
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI32611020207RA0201X
IL036-121969207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1528077971Medicaid
WI1528077971Medicaid