Roth, Randall Lynn

Roth, Randall Lynn is an individual health care provider with primary practice located at 804 Higdon Ferry Rd , Hot Springs AR 71913-6129. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roth, Randall Lynn can be contacted via phone (501) 881-4407.

Contact Information

Primary practice address
804 Higdon Ferry Rd Hot Springs AR 71913-6129
Fax: (501) 881-4407
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1219 Arkansas

Profile Details

NPI number 1417912759
LBN Legal business name Roth, Randall Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 11th, 2009 - about 16 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 1417912759 NPPES
Arkansas Other 59741 BLUE CROSS BLUE SHIELD

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