Michael A Roth Md Pc

LBN: Michael A Roth Md Pc
Michael A Roth Md Pc is an health care organization with primary practice located at 42450 W 12 Mile Rd , Novi MI 48377-3013. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Michael A Roth Md Pc can be contacted via phone (248) 347-6100, or through Atwood, Yolanda B via phone (248) 347-6100.

Contact Information

Primary practice address
42450 W 12 Mile Rd Novi MI 48377-3013
Phone: (248) 347-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Atwood, Yolanda B Doctor of Medicine (MD)
Phone: (248) 347-6100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1831190917
LBN Legal business name Michael A Roth Md Pc
DBA Doing business as
Authorized official Atwood, Yolanda B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831190917 NPPES
Michigan MEDICAID 6167310

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