person
Dr. Earl J Roth, DC
Chiropractor in Antigo, Wisconsin
NPI 1205999646

Earl J Roth is a Chiropractor based in Antigo, WI. Earl J Roth practices in Antigo, WI and has the professional credentials of DC. The NPI Number for Earl J Roth is 1205999646 and holds a License No. 3510 (Wisconsin).

The current practice location address for Earl J Roth is 721 Century Ave, Antigo, WI and can be reached out via phone at 715-623-5300.

Location: 721 Century Ave, Antigo, WI, 54409-2473
person
Provider Profile Details
NPI Number
1205999646
Provider Name
Earl J Roth
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
721 Century Ave, Antigo, WI, 54409-2473
Phone Number
715-623-5300
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350055781 01 WI RAILROAD MEDICARE
38937600 05 WI
institution
Provider Business Practice Location Address Details
Address
721 Century Ave
City
State
Zip
54409-2473
Phone Number
715-623-5300
Fax Number
person
Provider Business Mailing Address Details
Address
721 Century Ave
City
State
Zip
54409-2473
Phone Number
715-623-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3510 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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