Roth, John G
Roth, John G is an individual health care provider with primary practice located at 177 Burt Rd , Lexington KY 40503-2410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Roth, John G can be contacted via phone (859) 276-1511.Contact Information
Primary practice address
177 Burt Rd
Lexington KY 40503-2410
Phone: (859) 276-1511
Fax: (859) 276-3373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 28647 | Kentucky |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 28647 | Kentucky |
Profile Details
| NPI number | 1134193212 |
|---|---|
| LBN Legal business name | Roth, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 6th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134193212 | NPPES |
| Kentucky | MEDICAID | 64286479 |
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