Roth, Gary Scott
Roth, Gary Scott is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roth, Gary Scott can be contacted via phone (573) 331-3000.Contact Information
Primary practice address
211 Saint Francis Dr
Cape Girardeau MO 63703-5049
Phone: (573) 331-3000
Fax: (913) 341-5797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 139505 | Missouri |
Profile Details
| NPI number | 1386607471 |
|---|---|
| LBN Legal business name | Roth, Gary Scott |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386607471 | NPPES |
| Missouri | Other | 110375 | HEALTH LINK |
| Missouri | Other | 166636 | HEALTH LINK |
| Missouri | Other | 105555 | HEALTH LINK |
| Missouri | MEDICAID | 237246265401 | HEALTH LINK |
| Missouri | Other | A156 | HEALTH LINK |
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