Roth, Nicole Megan

Roth, Nicole Megan is an individual health care provider with primary practice located at 1400 28Th St Ste 2 , Boulder CO 80303-1096. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Roth, Nicole Megan can be contacted via phone (303) 449-2000.

Contact Information

Primary practice address
1400 28Th St Ste 2 Boulder CO 80303-1096
Phone: (303) 449-2000
Fax: (303) 449-9475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD.0000829 Colorado

Profile Details

NPI number 1770879413
LBN Legal business name Roth, Nicole Megan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Jan 14th, 2019 - about 6 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 1770879413 NPPES
Florida Other PR235 PODIATRIC RESIDENT
Florida MEDICAID 9000168464 PODIATRIC RESIDENT
Florida Other PO 3661 PODIATRIC RESIDENT
Florida Other POD.0000829 PODIATRIC RESIDENT

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