Roth, Jason Eric
Roth, Jason Eric is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 1000, Spokane WA 99204-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roth, Jason Eric can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
910 W 5Th Ave Suite 1000
Spokane WA 99204-2966
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 034584 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60015400 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M10532 | Idaho |
Profile Details
| NPI number | 1316900665 |
|---|---|
| LBN Legal business name | Roth, Jason Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Aug 2nd, 2012 - about 13 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 | 1316900665 | NPPES |
| Idaho | MEDICAID | 808313700 | |
| Idaho | MEDICAID | 8538670 |
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