Roth, Matt D

Roth, Matt D is an individual health care provider with primary practice located at 2865 N Reynolds Rd Ste 260 , Toledo OH 43615-2070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Roth, Matt D can be contacted via phone (419) 578-4280.

Contact Information

Primary practice address
2865 N Reynolds Rd Ste 260 Toledo OH 43615-2070
Phone: (419) 578-4280
Fax: (419) 537-5684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35-088737 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35088737 Ohio

Profile Details

NPI number 1457566101
LBN Legal business name Roth, Matt D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Nov 3rd, 2023 - about 2 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 1457566101 NPPES
Ohio MEDICAID 2769839
Ohio Other 05455
Ohio Other 9202151
Ohio Other 000000571949
Ohio Other PENDING
Ohio Other PENDING

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