Roth, Judith G
Roth, Judith G is an sole proprietor health care provider with primary practice located at 164 Blackheath Rd , Lido Beach NY 11561-4840. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Roth, Judith G can be contacted via phone (516) 431-2636.Contact Information
Primary practice address
164 Blackheath Rd
Lido Beach NY 11561-4840
Phone: (516) 431-2636
Fax: (516) 432-5841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | XOO4297 | New York |
Profile Details
| NPI number | 1538145644 |
|---|---|
| LBN Legal business name | Roth, Judith G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | May 20th, 2008 - about 18 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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