Roth, Elizabeth B

Roth, Elizabeth B is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Urology, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Roth, Elizabeth B can be contacted via phone (414) 266-3794.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Urology Milwaukee WI 53226-4874
Fax: (414) 266-1752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 63705 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 63705 Wisconsin

Profile Details

NPI number 1982925327
LBN Legal business name Roth, Elizabeth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Jul 13th, 2023 - about last year

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 1982925327 NPPES
Wisconsin MEDICAID 1982925327

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