Dr. Harold Franklin Roth
General Practice Physician
1627 Lake Lansing Rd Suite 200
Lansing
, Michigan 48912-3788
Dr. Harold Franklin Roth
General Practice Physician
1627 Lake Lansing Rd Suite 200
Lansing
, Michigan 48912-3788
(517) 485-2357
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Harold Franklin Roth
- 1627 Lake Lansing Rd Suite 200
- Lansing, MI
- Zip : 48912-3788
- Fax : (517) 485-2357
- Phone : (517) 485-1789
Second Address
- Dr. Harold Franklin Roth
- 1627 Lake Lansing Rd Suite 200
- Lansing, MI
- Zip : 48912-3788
- Fax : (517) 485-2357
- Phone : (517) 485-1789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 5101007838 | MI |
National Provider Identifier
| NPI | 1023005659 |
|---|---|
| Provider Name | Dr. Harold Franklin Roth |
| First Address | Lansing, MI 48912-3788 |
| Second Address | Lansing, MI 48912-3788 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 01/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0153310524 | BCBSM (01) | MI |
| 112117791 | (05) | MI |
| 200000005857 | PHP OF MID-MICHIGAN (01) | MI |
| 201488 | MCLAREN HEALTH PLAN (01) | MI |
| 38-2402492 | FEDERAL EMPLOYER ID NUMBE (01) | |
| E25991 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.