Roth, Brian Michael

Roth, Brian Michael is an individual health care provider with primary practice located at 1135 W University Dr Suite 425, Rochester MI 48307-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Roth, Brian Michael can be contacted via phone (248) 650-5861.

Contact Information

Primary practice address
1135 W University Dr Suite 425 Rochester MI 48307-1871
Phone: (248) 650-5861
Fax: (248) 650-5865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301055982 Michigan

Profile Details

NPI number 1659346567
LBN Legal business name Roth, Brian Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 25th, 2012 - about 12 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 1659346567 NPPES
Michigan MEDICAID 3183503

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