Roth, Marta B

Roth, Marta B is an individual health care provider with primary practice located at 3094 W Market St Ste 136, Fairlawn OH 44333-3617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roth, Marta B can be contacted via phone (330) 864-0902.

Contact Information

Primary practice address
3094 W Market St Ste 136 Fairlawn OH 44333-3617
Fax: (330) 864-0920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35066638 Ohio

Profile Details

NPI number 1528085503
LBN Legal business name Roth, Marta B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 14th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528085503 NPPES
Ohio MEDICAID 0206502

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