Roth, Robert Stephan

Roth, Robert Stephan is an individual health care provider with primary practice located at 2647 Box Canyon Dr , Las Vegas NV 89128-0450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roth, Robert Stephan can be contacted via phone (702) 363-5575.

Contact Information

Primary practice address
2647 Box Canyon Dr Las Vegas NV 89128-0450
Phone: (702) 363-5575
Fax: (702) 646-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8797 Nevada

Profile Details

NPI number 1306843883
LBN Legal business name Roth, Robert Stephan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 31st, 2021 - about 4 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 1306843883 NPPES
Nevada Other 8797 LICENSE #

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