Killackey, Roger Robert

Killackey, Roger Robert is an sole proprietor health care provider with primary practice located at 115 Civic Center Plz , Lompoc CA 93436-6916. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Killackey, Roger Robert can be contacted via phone (805) 737-7800.

Contact Information

Primary practice address
115 Civic Center Plz Lompoc CA 93436-6916
Phone: (805) 737-7800
Fax: (805) 737-7811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1669682654
LBN Legal business name Killackey, Roger Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 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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