Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM ROTH, CO
Active Sole ProprietorADAM ROTH, CO is a Prosthetic/Orthotic Supplier healthcare provider located in FORT WAYNE, Indiana. NPI 1184156093 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · FORT WAYNE, IN
Registration Details
- NPI Number
- 1184156093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2017 (9.1896203459149 yrs)
- Last Updated
- Mar 30, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4109 W JEFFERSON BLVDFORT WAYNE, IN, 468046894Browse IN providers · Browse ZIP 46804
- Phone
- 2604328886
- Fax
- 2604321137
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| HAFEEZAH CARTER | — | 1598215857 |
| MR. SHAWN DEE BROWN | CPO | 1184156101 |
| MICHAEL PEREZ | CP | 1669904595 |
| JASON TIMMER | CPO | 1316479231 |
| JEFF WELLS | CPO | 1710453402 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.