De La Torre, Roger Anibal
De La Torre, Roger Anibal is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. De La Torre, Roger Anibal can be contacted via phone (573) 882-5619.Contact Information
Primary practice address
1 Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-5619
Fax: (573) 884-4611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R3P10 | Missouri |
Profile Details
| NPI number | 1134115728 |
|---|---|
| LBN Legal business name | De La Torre, Roger Anibal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 4th, 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 | 1134115728 | NPPES |
| Missouri | MEDICAID | 203050802 | |
| Missouri | MEDICAID | 203050803 |
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