Roth, David Erich

Roth, David Erich is an individual health care provider with primary practice located at 521 Alta Way , Mill Valley CA 94941-5400. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Roth, David Erich can be contacted via phone (808) 741-3031.

Contact Information

Primary practice address
521 Alta Way Mill Valley CA 94941-5400
Phone: (808) 741-3031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C53946 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD-11262 Hawaii
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C53946 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD11262 Hawaii
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD-11262 Hawaii

Profile Details

NPI number 1831197250
LBN Legal business name Roth, David Erich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Jan 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831197250 NPPES
Hawaii MEDICAID 525-008-01

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