Roth, Adele M.
Roth, Adele M. is an individual health care provider with primary practice located at 2900 Frank Scott Pkwy W Suite 980, Belleville IL 62223-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roth, Adele M. can be contacted via phone (618) 234-9200.Contact Information
Primary practice address
2900 Frank Scott Pkwy W Suite 980
Belleville IL 62223-5000
Phone: (618) 234-9200
Fax: (618) 234-3940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036069016 | Illinois |
Profile Details
| NPI number | 1750480356 |
|---|---|
| LBN Legal business name | Roth, Adele M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 24th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750480356 | NPPES |
| Illinois | MEDICAID | 036069016 |
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