Roth, Stacey

Roth, Stacey is an individual health care provider with primary practice located at 1906 30Th Ave S , Moorhead MN 56560-5210. She recently has only one registered license in Chiropractic Providers / Pediatric Chiropractor, which is considered as her primary health care specialty. Roth, Stacey can be contacted via phone (218) 233-2517.

Contact Information

Primary practice address
1906 30Th Ave S Moorhead MN 56560-5210
Phone: (218) 233-2517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 3114 Minnesota

Profile Details

NPI number 1770849929
LBN Legal business name Roth, Stacey
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 14 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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