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Individual
JAYNE M ROTH
Active
Individual
JAYNE M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
08128
OH
367A00000X
Advanced Practice Midwife
Primary
NM-08128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358994
ANTHEM
OH
01
—
05225
PARAMOUNT
OH
05
—
2534887
—
OH
01
—
344428256
FRONTPATH
OH
01
—
344428256053
CARESOURCE
OH
05
—
4691024
—
MI
05
—
4691033
—
MI
Enumeration date
07/15/2005
Last updated
11/03/2023
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