Roth, Brian P.
Roth, Brian P. is an sole proprietor health care provider with primary practice located at 1022 W Ivy Ave , Moses Lake WA 98837-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roth, Brian P. can be contacted via phone (509) 765-7845.Contact Information
Primary practice address
1022 W Ivy Ave
Moses Lake WA 98837-4107
Phone: (509) 765-7845
Fax: (509) 765-5192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00029599 | Washington |
Profile Details
| NPI number | 1649273889 |
|---|---|
| LBN Legal business name | Roth, Brian P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Aug 18th, 2010 - about 16 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 | 1649273889 | NPPES |
| Washington | MEDICAID | 7729007 |
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