Roth, Michael
Roth, Michael is an sole proprietor health care provider with primary practice located at 1060 Chestnut St , Ann Arbor MI 48104-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roth, Michael can be contacted via phone (734) 975-0001.Contact Information
Primary practice address
1060 Chestnut St
Ann Arbor MI 48104-2824
Phone: (734) 975-0001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301034106 | Michigan |
Profile Details
| NPI number | 1568654044 |
|---|---|
| LBN Legal business name | Roth, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Aug 17th, 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 | 1568654044 | NPPES |
| Michigan | Other | 4301034106 | MEDICAL LICENSE |
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