Dextradeur, Roger Gerard
Dextradeur, Roger Gerard is an sole proprietor health care provider with primary practice located at 22 Front St , Fall River MA 02721-4302. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dextradeur, Roger Gerard can be contacted via phone (508) 676-1307.Contact Information
Primary practice address
22 Front St
Fall River MA 02721-4302
Phone: (508) 676-1307
Fax: (508) 674-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 116 | Massachusetts |
Profile Details
| NPI number | 1972621134 |
|---|---|
| LBN Legal business name | Dextradeur, Roger Gerard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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