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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Popular Providers
-
Pearson, Lauren
100 S Juniper St Fl 3 , Philadelphia PA 19107-1316 -
Laporte, Nicole
125 S 9Th St , Philadelphia PA 19107-5125 -
Carter, Rhonda A
125 S 9Th St , Philadelphia PA 19107-5125 -
Swope, Elizabeth Ann
9350 Ashton Rd Rm 201 , Philadelphia PA 19114-7402 -
Egoville, Justin
80001 State Rd. Mhm Correctional Services, Mod Ii, Philadelphia PA 19136-0000 -
Jordan, Elizabeth A
8001 State Road Mod Ii, Suite 107, Philadelphia PA 19136 -
Toomer, Dwayne M
718 Addison St Apt E , Philadelphia PA 19147-1353 -
Woodson, Christina Sanchez
1200 Callowhill St , Philadelphia PA 19123-3658