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
Fax: (641) 357-1999
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578500138 NPPES
Iowa MEDICAID 0460956
Iowa Other P00427171

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