Roth, Robert Mark

Roth, Robert Mark is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Roth, Robert Mark can be contacted via phone (603) 650-7232.

Contact Information

Primary practice address
1 Medical Center Drive Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax: (603) 650-9478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 974 New Hampshire

Profile Details

NPI number 1891863106
LBN Legal business name Roth, Robert Mark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1891863106 NPPES
New Hampshire MEDICAID 30421662
New Hampshire Other 1008316

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