Isla, Roger
Isla, Roger is an individual health care provider with primary practice located at 651 Colliers Way Suite 408, Weirton WV 26062-5053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Isla, Roger can be contacted via phone (304) 723-0005.Contact Information
Primary practice address
651 Colliers Way Suite 408
Weirton WV 26062-5053
Phone: (304) 723-0005
Fax: (304) 723-0074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35035903I | Ohio |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 10220 | West Virginia |
Profile Details
NPI number | 1265439301 |
---|---|
LBN Legal business name | Isla, Roger |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Aug 9th, 2013 - about 12 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 | 1265439301 | NPPES |
West Virginia | MEDICAID | 0101320000 | |
West Virginia | MEDICAID | 0322350 |
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