Adam Roth, CO
Adam Roth, CO is a Prosthetic/Orthotic Supplier in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4109 W Jefferson BlvdFort Wayne, IN 46804-6894
Phone: (260) 432-8886
Fax: (260) 432-1137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1184156093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2017 |
| Last updated in NPPES | March 30, 2017 |
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