Roth, Samantha Telarroja

Roth, Samantha Telarroja is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roth, Samantha Telarroja can be contacted via phone (228) 575-2074.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 575-2074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00496 Mississippi

Profile Details

NPI number 1528504768
LBN Legal business name Roth, Samantha Telarroja
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2017
Last updated May 20th, 2022 - about 2 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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