Roth, Michele

Roth, Michele is an individual health care provider with primary practice located at 1215 Se 7Th Ave , Grand Rapids MN 55744-4201. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roth, Michele can be contacted via phone (218) 327-1105.

Contact Information

Primary practice address
1215 Se 7Th Ave Grand Rapids MN 55744-4201
Phone: (218) 327-1105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301484 Minnesota

Profile Details

NPI number 1396953923
LBN Legal business name Roth, Michele
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
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.

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