Roth, Jason Eric

Roth, Jason Eric is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 1000, Spokane WA 99204-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roth, Jason Eric can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
910 W 5Th Ave Suite 1000 Spokane WA 99204-2966
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 034584 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD60015400 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M10532 Idaho

Profile Details

NPI number 1316900665
LBN Legal business name Roth, Jason Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Aug 2nd, 2012 - about 13 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 1316900665 NPPES
Idaho MEDICAID 808313700
Idaho MEDICAID 8538670

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