Tacyshyn-Roth, James Arthur

Tacyshyn-Roth, James Arthur is an individual health care provider with primary practice located at 6508 W Lincoln Ave , West Allis WI 53219-2045. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tacyshyn-Roth, James Arthur can be contacted via phone (414) 810-0009.

Contact Information

Primary practice address
6508 W Lincoln Ave West Allis WI 53219-2045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X WI2869 Wisconsin

Profile Details

NPI number 1972515070
LBN Legal business name Tacyshyn-Roth, James Arthur
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1972515070 NPPES
Wisconsin Other P00203589 MEDICARE RAILROAD
Wisconsin MEDICAID 38868500 MEDICARE RAILROAD

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