Roth, Jay Edward

Roth, Jay Edward is an sole proprietor health care provider with primary practice located at 706 S 11Th St #3B, Philadelphia PA 19147-1968. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Roth, Jay Edward can be contacted via phone (215) 913-7381.

Contact Information

Primary practice address
706 S 11Th St #3B Philadelphia PA 19147-1968
Phone: (215) 913-7381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP010741 Pennsylvania

Profile Details

NPI number 1851615066
LBN Legal business name Roth, Jay Edward
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2010
Last updated Mar 16th, 2010 - about 16 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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