Roth, Julie L

Roth, Julie L is an sole proprietor health care provider with primary practice located at 2 Dudley St Suite 555, Providence RI 02905-3236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as her primary health care specialty. Roth, Julie L can be contacted via phone (401) 444-3032.

Contact Information

Primary practice address
2 Dudley St Suite 555 Providence RI 02905-3236
Phone: (401) 444-3032
Fax: (401) 444-3205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X LP01397 Rhode Island

Profile Details

NPI number 1063673713
LBN Legal business name Roth, Julie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jan 6th, 2015 - about 10 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 1063673713 NPPES
Rhode Island MEDICAID 1063673713

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