Barrette, Roger Robert

Barrette, Roger Robert is an individual health care provider with primary practice located at 1033 Breezewood Drive , Canonsburg PA 15317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Barrette, Roger Robert can be contacted via phone (412) 335-9557.

Contact Information

Primary practice address
1033 Breezewood Drive Canonsburg PA 15317
Phone: (412) 335-9557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD026941E Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD026941E Pennsylvania

Profile Details

NPI number 1063497865
LBN Legal business name Barrette, Roger Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Dec 6th, 2012 - about 13 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 1063497865 NPPES
West Virginia MEDICAID 2007428000
West Virginia MEDICAID 626040
West Virginia MEDICAID 03196774
West Virginia MEDICAID 0011418810007

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