Barillas, Roger O
Barillas, Roger O is an individual health care provider with primary practice located at 1801 Us Highway 18 E , Clear Lake IA 50428-2162. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Barillas, Roger O can be contacted via phone (641) 357-1999.Contact Information
Primary practice address
1801 Us Highway 18 E
Clear Lake IA 50428-2162
Phone: (641) 357-1999
Fax: (641) 357-1999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A086935 | Iowa |
Profile Details
NPI number | 1578500138 |
---|---|
LBN Legal business name | Barillas, Roger O |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2006 |
Last updated | Feb 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578500138 | NPPES |
Iowa | MEDICAID | 0460956 | |
Iowa | Other | P00427171 |
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