Roth, Gavin
Roth, Gavin is an individual health care provider with primary practice located at 310 S Limestone , Lexington KY 40508-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Roth, Gavin can be contacted via phone (859) 252-6612.Contact Information
Primary practice address
310 S Limestone
Lexington KY 40508-3008
Phone: (859) 252-6612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 38048 | Kentucky |
Profile Details
| NPI number | 1639171531 |
|---|---|
| LBN Legal business name | Roth, Gavin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 22nd, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639171531 | NPPES |
| Kentucky | MEDICAID | 64067317 |
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