Roth, Suzanne Fair

Roth, Suzanne Fair is an individual health care provider with primary practice located at 1501 Front St 643, San Diego CA 92101-2973. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roth, Suzanne Fair can be contacted via phone (619) 889-7684.

Contact Information

Primary practice address
1501 Front St 643 San Diego CA 92101-2973
Phone: (619) 889-7684
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 14948 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 252378 California

Profile Details

NPI number 1316906076
LBN Legal business name Roth, Suzanne Fair
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 9th, 2013 - about 11 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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