Roth, John T.

Roth, John T. is an individual health care provider with primary practice located at 904 Pennsylvania Ave , Fort Worth TX 76104-2225. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Roth, John T. can be contacted via phone (817) 332-8817.

Contact Information

Primary practice address
904 Pennsylvania Ave Fort Worth TX 76104-2225
Phone: (817) 332-8817
Fax: (817) 332-8827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50455 Texas

Profile Details

NPI number 1225039571
LBN Legal business name Roth, John T.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 20th, 2007 - about 18 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 1225039571 NPPES
Texas Other 514030 BCBS DIAG
Texas Other 015430-0111 BCBS DIAG
Texas Other 0616049 BCBS DIAG
Texas Other 2313884 BCBS DIAG
Texas Other 4189557 BCBS DIAG
Texas Other 01726 BCBS DIAG
Texas Other 519929 BCBS DIAG
Texas Other 015311-0202 BCBS DIAG

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