Fellows, Roger D
Fellows, Roger D is an sole proprietor health care provider with primary practice located at 67-1125 Mamalahoa Hwy , Kamuela HI 96743-8496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fellows, Roger D can be contacted via phone (808) 881-4881.Contact Information
Primary practice address
67-1125 Mamalahoa Hwy
Kamuela HI 96743-8496
Phone: (808) 881-4881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 149047-1205 | Utah |
Profile Details
| NPI number | 1609863299 |
|---|---|
| LBN Legal business name | Fellows, Roger D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Mar 22nd, 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 | 1609863299 | NPPES |
| Utah | MEDICAID | 03831 |
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