Roth, Rob Roy

Roth, Rob Roy is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way , Tacoma WA 98405-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Roth, Rob Roy can be contacted via phone (253) 403-1043.

Contact Information

Primary practice address
315 Martin Luther King Jr Way Tacoma WA 98405-4234
Fax: (253) 403-1357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00018956 Washington

Profile Details

NPI number 1487791026
LBN Legal business name Roth, Rob Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated May 27th, 2008 - about 17 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 1487791026 NPPES
Washington Other 76104 LABOR & INDUSTRIES
Washington MEDICAID 8645202 LABOR & INDUSTRIES

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