Roth, David L

Roth, David L is an individual health care provider with primary practice located at 350 Heritage Way #2100, Kalispell MT 59901-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roth, David L can be contacted via phone (406) 257-8992.

Contact Information

Primary practice address
350 Heritage Way #2100 Kalispell MT 59901-3158
Phone: (406) 257-8992
Fax: (406) 257-8996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7895 Montana

Profile Details

NPI number 1477593085
LBN Legal business name Roth, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 3rd, 2013 - about 11 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 1477593085 NPPES
Montana MEDICAID 36218
Montana Other 593
Montana Other M011000969

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