Roth, Cheryl A
Roth, Cheryl A is an individual health care provider with primary practice located at 3907 6Th Ave , Kearney NE 68845-3392. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roth, Cheryl A can be contacted via phone (308) 865-2767.Contact Information
Primary practice address
3907 6Th Ave
Kearney NE 68845-3392
Phone: (308) 865-2767
Fax: (308) 865-2765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18857 | Nebraska |
Profile Details
| NPI number | 1245311570 |
|---|---|
| LBN Legal business name | Roth, Cheryl A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jan 19th, 2012 - about 13 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 | 1245311570 | NPPES |
| Nebraska | MEDICAID | 47059237913 |
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