Roth, Jason

Roth, Jason is an individual health care provider with primary practice located at 405 Silverside Rd Ste 104 , Wilmington DE 19809-1768. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Roth, Jason can be contacted via phone (844) 365-7246.

Contact Information

Primary practice address
405 Silverside Rd Ste 104 Wilmington DE 19809-1768
Phone: (844) 365-7246
Fax: (844) 516-0080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C2-0013778 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X C2-0013778 Delaware

Profile Details

NPI number 1134514706
LBN Legal business name Roth, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Oct 31st, 2022 - about 3 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 1134514706 NPPES
Delaware MEDICAID 250588337
Delaware MEDICAID 452046700

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