Roth, Jeffrey Joseph

Roth, Jeffrey Joseph is an individual health care provider with primary practice located at 6140 S Fort Apache Rd Ste 100 , Las Vegas NV 89148-6737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Roth, Jeffrey Joseph can be contacted via phone (702) 450-0777.

Contact Information

Primary practice address
6140 S Fort Apache Rd Ste 100 Las Vegas NV 89148-6737
Phone: (702) 450-0777
Fax: (702) 459-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 7663 Nevada

Profile Details

NPI number 1932109212
LBN Legal business name Roth, Jeffrey Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 5th, 2022 - about 2 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 1932109212 NPPES
Nevada MEDICAID 100503381

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