Roth, Jon J

Roth, Jon J is an individual health care provider with primary practice located at 354 Santa Fe Dr , Encinitas CA 92024-5142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Roth, Jon J can be contacted via phone (760) 230-2251.

Contact Information

Primary practice address
354 Santa Fe Dr Encinitas CA 92024-5142
Phone: (760) 230-2251
Fax: (760) 230-2253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C50622 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C50622 California

Profile Details

NPI number 1912093923
LBN Legal business name Roth, Jon J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 14th, 2017 - about 8 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 1912093923 NPPES
Other 030471215 TRICARE
Other 000713416 TRICARE

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