Roth, Jason T

Roth, Jason T is an individual health care provider with primary practice located at 11600 W 2Nd Pl St,. Anthony Hospital, Emergency Dept., Lakewood CO 80228-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roth, Jason T can be contacted via phone (720) 321-4161.

Contact Information

Primary practice address
11600 W 2Nd Pl St,. Anthony Hospital, Emergency Dept. Lakewood CO 80228-1527
Fax: (720) 321-4165
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41184 Colorado

Profile Details

NPI number 1780657304
LBN Legal business name Roth, Jason T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 14th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780657304 NPPES
Arizona MEDICAID 143861
Arizona MEDICAID 200384260A
Arizona MEDICAID Z3279
Arizona MEDICAID 122701700
Arizona MEDICAID 77005384
Arizona Other P00299240
Arizona MEDICAID 78789770

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