Roth, Renee L

Roth, Renee L is an individual health care provider with primary practice located at 8881 N Main St , Dayton OH 45415-1333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Roth, Renee L can be contacted via phone (937) 293-1622.

Contact Information

Primary practice address
8881 N Main St Dayton OH 45415-1333
Fax: (937) 245-6308
Website:

Health care specialties

Profile Details

NPI number 1295975266
LBN Legal business name Roth, Renee L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Nov 29th, 2022 - about 2 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 1295975266 NPPES
Ohio Other 000000611757 ANTHEM
Ohio MEDICAID 2983802 ANTHEM

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