Roth, Karla Jean
Roth, Karla Jean is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roth, Karla Jean can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
3860 Monroe Rd
De Pere WI 54115-8399
Phone: (920) 496-4700
Fax: (920) 431-1967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37108 | Wisconsin |
Profile Details
| NPI number | 1508890971 |
|---|---|
| LBN Legal business name | Roth, Karla Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Sep 24th, 2019 - about 5 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 | 1508890971 | NPPES |
| Wisconsin | MEDICAID | 32183200 |
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