Roth, Philip Anthony
Roth, Philip Anthony is an sole proprietor health care provider with primary practice located at 2089 Cecil Ashburn Dr Se Suite 101, Huntsville AL 35802-2567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roth, Philip Anthony can be contacted via phone (256) 533-3966.Contact Information
Primary practice address
2089 Cecil Ashburn Dr Se Suite 101
Huntsville AL 35802-2567
Phone: (256) 533-3966
Fax: (256) 882-9757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12141 | Alabama |
Profile Details
| NPI number | 1710968383 |
|---|---|
| LBN Legal business name | Roth, Philip Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 21st, 2012 - about 13 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 | 1710968383 | NPPES |
| Other | 080055438 | RAILROAD MEDICARE | |
| MEDICAID | 000085204 | RAILROAD MEDICARE | |
| Other | 0004036975 | RAILROAD MEDICARE | |
| Other | 51085204 | RAILROAD MEDICARE |
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