Roth, Samantha Sara

Roth, Samantha Sara is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Roth, Samantha Sara can be contacted via phone (013) 734-7608.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (013) 734-7608
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Utah

Profile Details

NPI number 1770191553
LBN Legal business name Roth, Samantha Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Mar 28th, 2023 - about last year

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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