Roth, Anna Lee

Roth, Anna Lee is an individual health care provider with primary practice located at 2184 S Ballenger Hwy , Flint MI 48503-3437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Roth, Anna Lee can be contacted via phone (810) 232-5627.

Contact Information

Primary practice address
2184 S Ballenger Hwy Flint MI 48503-3437
Phone: (810) 232-5627
Fax: (810) 232-8024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704296699 Michigan

Profile Details

NPI number 1023264041
LBN Legal business name Roth, Anna Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2008
Last updated Sep 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023264041 NPPES
Michigan MEDICAID 1023264041

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