Roth, Gary Scott

Roth, Gary Scott is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roth, Gary Scott can be contacted via phone (573) 331-3000.

Contact Information

Primary practice address
211 Saint Francis Dr Cape Girardeau MO 63703-5049
Phone: (573) 331-3000
Fax: (913) 341-5797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 139505 Missouri

Profile Details

NPI number 1386607471
LBN Legal business name Roth, Gary Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1386607471 NPPES
Missouri Other 110375 HEALTH LINK
Missouri Other 166636 HEALTH LINK
Missouri Other 105555 HEALTH LINK
Missouri MEDICAID 237246265401 HEALTH LINK
Missouri Other A156 HEALTH LINK

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