Roth, George J

Roth, George J is an individual health care provider with primary practice located at 1210 Nw 16Th St , Fruitland ID 83619-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roth, George J can be contacted via phone (208) 452-8600.

Contact Information

Primary practice address
1210 Nw 16Th St Fruitland ID 83619-2202
Fax: (208) 452-8601

Health care specialties

Profile Details

NPI number 1073720124
LBN Legal business name Roth, George J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 13th, 2012 - about 10 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.

Request for update

Popular Providers