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
Phone: (937) 293-1622
Fax: (937) 245-6308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 364SA2100X | COA10617NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.10617 | Ohio |
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 3 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 | 1295975266 | NPPES |
| Ohio | Other | 000000611757 | ANTHEM |
| Ohio | MEDICAID | 2983802 | ANTHEM |
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