Roth, Jacqueline Marie
Roth, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 5700 172Nd St Ne , Arlington WA 98223-7742. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roth, Jacqueline Marie can be contacted via phone (360) 652-9640.Contact Information
Primary practice address
5700 172Nd St Ne
Arlington WA 98223-7742
Phone: (360) 652-9640
Fax: (360) 652-2093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60298450 | Washington |
Profile Details
| NPI number | 1669021952 |
|---|---|
| LBN Legal business name | Roth, Jacqueline Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2019 |
| Last updated | Sep 9th, 2019 - about 7 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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