Roth, Jessica Nicole

Roth, Jessica Nicole is an individual health care provider with primary practice located at 600 Twelve Oaks Center Dr Ste 640 , Wayzata MN 55391-4502. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Roth, Jessica Nicole can be contacted via phone (952) 378-1085.

Contact Information

Primary practice address
600 Twelve Oaks Center Dr Ste 640 Wayzata MN 55391-4502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 7099 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 7099 Minnesota

Profile Details

NPI number 1336843564
LBN Legal business name Roth, Jessica Nicole
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2023
Last updated May 20th, 2023 - about last year

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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