Roth, Christopher Charles

Roth, Christopher Charles is an sole proprietor health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5798. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Roth, Christopher Charles can be contacted via phone (504) 896-9233.

Contact Information

Primary practice address
200 Henry Clay Ave New Orleans LA 70118-5798
Phone: (504) 896-9233
Fax: (504) 896-9861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 026088 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X ME133119 Florida

Profile Details

NPI number 1194920462
LBN Legal business name Roth, Christopher Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jul 16th, 2020 - about 5 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 1194920462 NPPES
Florida MEDICAID 022277000
Florida MEDICAID 1050423

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