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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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