Brill, Roger Thomas
Brill, Roger Thomas is an sole proprietor health care provider with primary practice located at 6520 Nw 9Th Blvd , Gainesville FL 32605-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Brill, Roger Thomas can be contacted via phone (352) 331-7987.Contact Information
Primary practice address
6520 Nw 9Th Blvd
Gainesville FL 32605-4205
Phone: (352) 331-7987
Fax: (352) 331-2787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME0020528 | Florida |
Profile Details
| NPI number | 1568403418 |
|---|---|
| LBN Legal business name | Brill, Roger Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jan 20th, 2009 - about 15 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 | 1568403418 | NPPES |
| Florida | MEDICAID | 0038168300 |
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