Lars Lyle Roth is a Chiropractor in Ely, Minnesota. Lars Lyle Roth practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lars Lyle Roth is 1821107541. The last update date is 2010-08-23.
Lars Lyle Roth's current location address is Po Box 659, Ely, Minnesota. You can contact this provider via phone number 2183655770. The mailing address for Lars Lyle Roth is Po Box 659, Ely, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lars Lyle Roth |
|---|---|
| Address | Po Box 659, Ely, Minnesota |
| Phone Number | 2183655770 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821107541 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2010-08-23 |
Provider Mailing Address Detail
| Address | Po Box 659 |
|---|---|
| City | Ely |
| State | Minnesota (MN) |
| Post Code | 55731 |
| Phone Number | 2183655770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1263 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73220R0 | MN | BCBS OF MN | |
| 908225500 | MN | MN HEALTH CARE PROGRAMS |
Post Comment/ Review Below
What is the unique identifier code issued to Lars Lyle Roth by the Centers for Medicare & Medicaid Services (CMS)?
The Lars Lyle Roth has been assigned the NPI (National Provider Identifier) 1821107541. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lars Lyle Roth?
The Lars Lyle Roth is physically situated at Po Box 659, in the city of Ely, state of MN, with the postal code 55731.
What is Lars Lyle Roth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lars Lyle Roth is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821107541 to Lars Lyle Roth?
The Centers for Medicare & Medicaid Services assigned the 1821107541 to Lars Lyle Roth on 2006-08-29.
As of what date was the information pertaining to Lars Lyle Roth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lars Lyle Roth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-23.