Roth, Michael Edward

Roth, Michael Edward is an individual health care provider with primary practice located at 2460 Curtis Ellis Dr , Rocky Mount NC 27804-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Roth, Michael Edward can be contacted via phone (252) 962-8043.

Contact Information

Primary practice address
2460 Curtis Ellis Dr Rocky Mount NC 27804-2237
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2005-01150 North Carolina

Profile Details

NPI number 1689887739
LBN Legal business name Roth, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 3rd, 2019 - about 5 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 1689887739 NPPES
Other P00707854 RAILROAD MEDICARE
MEDICAID 5907880 RAILROAD MEDICARE

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