Roth, Thomas Barker
Roth, Thomas Barker is an individual health care provider with primary practice located at 2500 Packard Rd Ste #103, Ann Arbor MI 48104-6827. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roth, Thomas Barker can be contacted via phone (734) 973-1990.Contact Information
Primary practice address
2500 Packard Rd Ste #103
Ann Arbor MI 48104-6827
Phone: (734) 973-1990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002292 | Michigan |
Profile Details
| NPI number | 1346380185 |
|---|---|
| LBN Legal business name | Roth, Thomas Barker |
| Credentials | OPTOMETRIST OD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346380185 | NPPES |
| Michigan | Other | 90OH165310 | BLUE CROSS BLUE SHIELD MI |
| Michigan | MEDICAID | 5011007 | BLUE CROSS BLUE SHIELD MI |
| Michigan | Other | VLM0045 | BLUE CROSS BLUE SHIELD MI |
| Michigan | Other | 54OH10378 | BLUE CROSS BLUE SHIELD MI |
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