Roth, Lars Lyle
Roth, Lars Lyle is an sole proprietor health care provider with primary practice located at 39 E Sheridan , Ely MN 55731. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roth, Lars Lyle can be contacted via phone (218) 365-5770.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 01263 | Minnesota |
Profile Details
| NPI number | 1821107541 |
|---|---|
| LBN Legal business name | Roth, Lars Lyle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821107541 | NPPES |
| Minnesota | Other | 73220R0 | BCBS OF MN |
| Minnesota | Other | 908225500 | BCBS OF MN |
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