Locke, Roger Earl

Locke, Roger Earl is an sole proprietor health care provider with primary practice located at 75 Phelan Ave #1, San Jose CA 95112-6120. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Locke, Roger Earl can be contacted via phone (408) 279-3955.

Contact Information

Primary practice address
75 Phelan Ave #1 San Jose CA 95112-6120
Phone: (408) 279-3955
Fax: (408) 259-4350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X SR GH 26792253 California

Profile Details

NPI number 1386708766
LBN Legal business name Locke, Roger Earl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386708766 NPPES
California Other SR GH 26792253 SELLER'S PERMIT

Popular Providers