Roth, Colin M
Roth, Colin M is an individual health care provider with primary practice located at 2505 E Jefferson Blvd , South Bend IN 46615-2635. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Roth, Colin M can be contacted via phone (574) 289-4831.Contact Information
Primary practice address
2505 E Jefferson Blvd
South Bend IN 46615-2635
Phone: (574) 289-4831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1225816259 |
|---|---|
| LBN Legal business name | Roth, Colin M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2023 |
| Last updated | Sep 20th, 2023 - about 2 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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