Roth, Benjamin Jacob

Roth, Benjamin Jacob is an sole proprietor health care provider with primary practice located at 3 Erie Ct , Oak Park IL 60302-2519. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roth, Benjamin Jacob can be contacted via phone (708) 763-6747.

Contact Information

Primary practice address
3 Erie Ct Oak Park IL 60302-2519
Phone: (708) 763-6747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005905 Illinois

Profile Details

NPI number 1649620352
LBN Legal business name Roth, Benjamin Jacob
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2016
Last updated Aug 28th, 2024 - about 2 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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