Roth, Adam

Roth, Adam is an sole proprietor health care provider with primary practice located at 4109 W Jefferson Blvd , Fort Wayne IN 46804-6894. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Roth, Adam can be contacted via phone (260) 432-8886.

Contact Information

Primary practice address
4109 W Jefferson Blvd Fort Wayne IN 46804-6894
Phone: (260) 432-8886
Fax: (260) 432-1137
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1184156093
LBN Legal business name Roth, Adam
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2017
Last updated Mar 30th, 2017 - about 9 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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