Roth, Sara L

Roth, Sara L is an individual health care provider with primary practice located at 1105 6Th Street , Traverse City MI 49684. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Roth, Sara L can be contacted via phone (231) 947-0673.

Contact Information

Primary practice address
1105 6Th Street Traverse City MI 49684
Phone: (231) 947-0673
Fax: (801) 740-2847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014990 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 58841 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101014990 Michigan

Profile Details

NPI number 1912973389
LBN Legal business name Roth, Sara L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 22nd, 2019 - about 5 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 1912973389 NPPES
Michigan MEDICAID 4780797
Michigan Other SR014990

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