Individual
DR. MATTHEW J. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3187 WESTERN ROW RD, SUITE 114, MAINEVILLE, OH 45039-8045
(513) 770-3434
(513) 229-5432
Mailing address
3187 WESTERN ROW RD, SUITE 114, MAINEVILLE, OH 45039-8045
(513) 770-3434
(513) 229-5432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313242
ANTHEM
OH
05
—
2378252
—
OH
Enumeration date
02/27/2007
Last updated
10/03/2012
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