Roth, Richard Lee

Roth, Richard Lee is an sole proprietor health care provider with primary practice located at 6845 Elm St Ste 210, Mc Lean VA 22101-3822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Roth, Richard Lee can be contacted via phone (703) 821-2337.

Contact Information

Primary practice address
6845 Elm St Ste 210 Mc Lean VA 22101-3822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101028447 Virginia

Profile Details

NPI number 1497758098
LBN Legal business name Roth, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Oct 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497758098 NPPES
Virginia Other 8555 CAREFILRST BC BS
Virginia Other 059999 CAREFILRST BC BS
Virginia Other 215112 CAREFILRST BC BS
Virginia Other 215112 CAREFILRST BC BS

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