Roth, Marvin D
Roth, Marvin D is an individual health care provider with primary practice located at 25 N Spruce St , Colorado Springs CO 80905-1436. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roth, Marvin D can be contacted via phone (719) 667-5591.Contact Information
Primary practice address
25 N Spruce St
Colorado Springs CO 80905-1436
Phone: (719) 667-5591
Fax: (719) 667-4470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 989316 | Colorado |
Profile Details
| NPI number | 1902873581 |
|---|---|
| LBN Legal business name | Roth, Marvin D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902873581 | NPPES |
| Colorado | Other | 209 | PIKES PEAK |
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