Individual provider · Type 1 NPI

Brett Roth

Student in an Organized Health Care Education/Training Program · Chattanooga, TN

NPI number 1043049042 Active

Practice location

975 E 3rd St
Chattanooga, TN 37403-2173

Mailing address

1328 Orlando Ave
Chattanooga, TN 37412-2232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043049042

Brett Roth's National Provider Identifier is 1043049042, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 29, 2024.