Roth, Gary Dean
Roth, Gary Dean is an individual health care provider with primary practice located at 4151 Shrestha Dr , Bay City MI 48706-2171. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Roth, Gary Dean can be contacted via phone (989) 203-0602.Contact Information
Primary practice address
4151 Shrestha Dr
Bay City MI 48706-2171
Phone: (989) 203-0602
Fax: (989) 684-4331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401007486 | Michigan |
Profile Details
| NPI number | 1467780841 |
|---|---|
| LBN Legal business name | Roth, Gary Dean |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2009 |
| Last updated | Jun 6th, 2023 - about 3 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 | 1467780841 | NPPES |
| Michigan | Other | 7509139660 | BCBS |
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