Roth, Mary Ellen

Roth, Mary Ellen is an individual health care provider with primary practice located at 695 South Street, #6 , Chardon OH 44024. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Roth, Mary Ellen can be contacted via phone (440) 286-1553.

Contact Information

Primary practice address
695 South Street, #6 Chardon OH 44024
Phone: (440) 286-1553
Fax: (440) 286-1318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0007784 Ohio

Profile Details

NPI number 1891082566
LBN Legal business name Roth, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2011
Last updated Jul 1st, 2011 - about 14 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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