Roth, Jason D

Roth, Jason D is an sole proprietor health care provider with primary practice located at 1906 30Th Ave S , Moorhead MN 56560-5210. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roth, Jason D can be contacted via phone (218) 233-2517.

Contact Information

Primary practice address
1906 30Th Ave S Moorhead MN 56560-5210
Phone: (218) 233-2517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3113 Minnesota

Profile Details

NPI number 1144326349
LBN Legal business name Roth, Jason D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 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.

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