Roth, Richard E
Roth, Richard E is an individual health care provider with primary practice located at 703 Rutter Ave , Kingston PA 18704-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roth, Richard E can be contacted via phone (570) 288-7405.Contact Information
Primary practice address
703 Rutter Ave
Kingston PA 18704-4801
Phone: (570) 288-7405
Fax: (570) 288-7406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OS011086 | Pennsylvania |
Profile Details
| NPI number | 1366449977 |
|---|---|
| LBN Legal business name | Roth, Richard E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2005 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1366449977 | NPPES |
| Pennsylvania | MEDICAID | 001968181 |
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