Roth, Richard Charles

Roth, Richard Charles is an sole proprietor health care provider with primary practice located at 655 Camino De Los Mares Ste 121 , San Clemente CA 92673-2809. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Roth, Richard Charles can be contacted via phone (949) 498-3262.

Contact Information

Primary practice address
655 Camino De Los Mares Ste 121 San Clemente CA 92673-2809
Phone: (949) 498-3262
Fax: (949) 498-4718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 14746 California

Profile Details

NPI number 1508916230
LBN Legal business name Roth, Richard Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Mar 31st, 2020 - about 4 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 1508916230 NPPES
California Other DC0147460 BLUE SHIELD
California Other DC14746 BLUE SHIELD

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