Roth, Thomas L
Roth, Thomas L is an sole proprietor health care provider with primary practice located at 114 Mission Ranch Blvd #10, Chico CA 95926-2186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roth, Thomas L can be contacted via phone (530) 894-0500.Contact Information
Primary practice address
114 Mission Ranch Blvd #10
Chico CA 95926-2186
Phone: (530) 894-0500
Fax: (530) 345-2532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G28736 | California |
Profile Details
| NPI number | 1518952688 |
|---|---|
| LBN Legal business name | Roth, Thomas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 22nd, 2010 - about 14 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 | 1518952688 | NPPES |
| California | MEDICAID | 00G287360 |
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