Roth, Elisa Marie

Roth, Elisa Marie is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Roth, Elisa Marie can be contacted via phone (309) 349-2470.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538
Phone: (309) 349-2470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.027394 Illinois

Profile Details

NPI number 1790981298
LBN Legal business name Roth, Elisa Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Aug 12th, 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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