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HAROLD F. ROTH D.O. NPI 1538677026


NPI Information

NPI: 1538677026
Provider Name: HAROLD F. ROTH, D.O.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1627 LAKE LANSING RD STE 200
LANSING, MI
ZIP 48912
Phone: (517) 485-1789
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HAROLD F. ROTH, D.O. is a general practice in Lansing, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HAROLD F. ROTH, D.O. NPI is 1538677026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1627 LAKE LANSING RD STE 200
LANSING, MI
ZIP 48912-788
Phone: (517) 485-1789
Fax: (517) 485-2357

The provider's authorized official is Harold Franklin Roth .
The authorized official title is Provider and has the following contact phone number (517) 485-1789.

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice5101007838MICHIGANYes
2363LF0000XNurse PractitionerFamily4704259692MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023005659MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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