Roth, Nicole
Roth, Nicole is an sole proprietor health care provider with primary practice located at 423 E Logan St , Moberly MO 65270-2222. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Roth, Nicole can be contacted via phone (660) 263-6643.Contact Information
Primary practice address
423 E Logan St
Moberly MO 65270-2222
Phone: (660) 263-6643
Fax: (660) 263-0333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2007015370 | Missouri |
Profile Details
| NPI number | 1225323256 |
|---|---|
| LBN Legal business name | Roth, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2011 |
| Last updated | Jun 17th, 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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