Fife, Roger L

Fife, Roger L is an individual health care provider with primary practice located at 780 W. Olive Ave. Suite 104 , Merced CA 95348-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fife, Roger L can be contacted via phone (209) 723-9879.

Contact Information

Primary practice address
780 W. Olive Ave. Suite 104 Merced CA 95348-2437
Fax: (209) 384-9027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A34105 California

Profile Details

NPI number 1548207590
LBN Legal business name Fife, Roger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548207590 NPPES
California MEDICAID 00A341050

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