Roth, Philip
Roth, Philip is an individual health care provider with primary practice located at 574 East 200Th Street , Euclid OH 44119-1570. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Roth, Philip can be contacted via phone (216) 481-6142.Contact Information
Primary practice address
574 East 200Th Street
Euclid OH 44119-1570
Phone: (216) 481-6142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13810 | Ohio |
Profile Details
| NPI number | 1487778130 |
|---|---|
| LBN Legal business name | Roth, Philip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487778130 | NPPES |
| Ohio | MEDICAID | 0209189 |
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