Ea, Roth Bun

Ea, Roth Bun is an sole proprietor health care provider with primary practice located at 635 Anderson Rd Ste 19 , Davis CA 95616-3505. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ea, Roth Bun can be contacted via phone (530) 758-1810.

Contact Information

Primary practice address
635 Anderson Rd Ste 19 Davis CA 95616-3505
Phone: (530) 758-1810
Fax: (530) 758-1896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5893 California

Profile Details

NPI number 1467984096
LBN Legal business name Ea, Roth Bun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2017
Last updated Dec 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467984096 NPPES
California Other E5893 MEDICAL LICENSE

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