Roth, Dale Leon

Roth, Dale Leon is an individual health care provider with primary practice located at 4432 Sunrise Place , Columbus NE 68601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Roth, Dale Leon can be contacted via phone (402) 564-9994.

Contact Information

Primary practice address
4432 Sunrise Place Columbus NE 68601
Phone: (402) 564-9994
Fax: (402) 562-6458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 562 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2512 Nebraska

Profile Details

NPI number 1023105756
LBN Legal business name Roth, Dale Leon
Credentials MDV DAVIS LMHP LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023105756 NPPES
Other 97061 BCBS AUX
Other 85330 BCBS AUX

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