Provider Demographics
NPI:1093176133
Name:ROTEN SIGNING SERVICE
Entity Type:Organization
Organization Name:ROTEN SIGNING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:ROTEN
Authorized Official - Suffix:
Authorized Official - Credentials:RMA,CPHT,NSA
Authorized Official - Phone:919-314-7138
Mailing Address - Street 1:6501 PACES ARBOR CIR
Mailing Address - Street 2:UNIT 618
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-2808
Mailing Address - Country:US
Mailing Address - Phone:919-314-7138
Mailing Address - Fax:984-200-8650
Practice Address - Street 1:6501 PACES ARBOR CIR
Practice Address - Street 2:UNIT 618
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-2808
Practice Address - Country:US
Practice Address - Phone:919-314-7138
Practice Address - Fax:984-200-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230020216251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management