Roth, Laurie

Roth, Laurie is an sole proprietor health care provider with primary practice located at 55 Van Tassel Dr , Waynesville NC 28786-6177. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Roth, Laurie can be contacted via phone (704) 408-1442.

Contact Information

Primary practice address
55 Van Tassel Dr Waynesville NC 28786-6177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3076 North Carolina

Profile Details

NPI number 1225056740
LBN Legal business name Roth, Laurie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Feb 11th, 2016 - about 9 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 1225056740 NPPES
North Carolina Other 085JP BLUE CROSS BLUE SHEILD
North Carolina Other 561971088 BLUE CROSS BLUE SHEILD
North Carolina MEDICAID 89085JP BLUE CROSS BLUE SHEILD
North Carolina Other 62871 BLUE CROSS BLUE SHEILD

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