Roth, Ronald Matthew
Roth, Ronald Matthew is an individual health care provider with primary practice located at 700 Shadow Ln Ste 166 , Las Vegas NV 89106-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Roth, Ronald Matthew can be contacted via phone (702) 258-1601.Contact Information
Primary practice address
700 Shadow Ln Ste 166
Las Vegas NV 89106-4158
Phone: (702) 258-1601
Fax: (702) 870-1995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5162 | Nevada |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 275830I205 | Utah |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5162 | Nevada |
Profile Details
| NPI number | 1497795389 |
|---|---|
| LBN Legal business name | Roth, Ronald Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 19th, 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 | 1497795389 | NPPES |
| Nevada | MEDICAID | 2002517 |
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