Glocker, Roan Jamison
Glocker, Roan Jamison is an individual health care provider with primary practice located at 990 South Ave Ste 210, Rochester NY 14620-2763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Glocker, Roan Jamison can be contacted via phone (585) 341-9541.Contact Information
Primary practice address
990 South Ave Ste 210
Rochester NY 14620-2763
Phone: (585) 341-9541
Fax: (585) 341-9550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 274719 | New York |
Profile Details
| NPI number | 1164623849 |
|---|---|
| LBN Legal business name | Glocker, Roan Jamison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Apr 28th, 2023 - about last year |
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 | 1164623849 | NPPES |
| New York | MEDICAID | 03921208 |
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