Roth, William Bradley

Roth, William Bradley is an individual health care provider with primary practice located at 1000 W Pinhook Rd Suite 304, Lafayette LA 70503-2460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Roth, William Bradley can be contacted via phone (337) 289-9155.

Contact Information

Primary practice address
1000 W Pinhook Rd Suite 304 Lafayette LA 70503-2460
Phone: (337) 289-9155
Fax: (337) 289-9585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 14924R Louisiana

Profile Details

NPI number 1215934187
LBN Legal business name Roth, William Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Feb 10th, 2011 - about 15 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 1215934187 NPPES
Louisiana MEDICAID 1156191

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