Roth, Christian William

Roth, Christian William is an individual health care provider with primary practice located at 301 S Lafayette St , South Lyon MI 48178-1407. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Roth, Christian William can be contacted via phone (248) 486-1110.

Contact Information

Primary practice address
301 S Lafayette St South Lyon MI 48178-1407
Phone: (248) 486-1110
Fax: (248) 486-3318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501000577 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 5501000577 Michigan

Profile Details

NPI number 1497747323
LBN Legal business name Roth, Christian William
Credentials PT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Nov 11th, 2014 - about 12 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 1497747323 NPPES
Michigan MEDICAID 4709236
Michigan Other 0H71069

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