Mcwilliams, Roger
Mcwilliams, Roger is an individual health care provider with primary practice located at 18102 Irvine Blvd Suite 105, Tustin CA 92780-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcwilliams, Roger can be contacted via phone (714) 832-0510.Contact Information
Primary practice address
18102 Irvine Blvd Suite 105
Tustin CA 92780-3402
Phone: (714) 832-0510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A62597 | California |
Profile Details
| NPI number | 1275502361 |
|---|---|
| LBN Legal business name | Mcwilliams, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275502361 | NPPES |
| California | Other | 80152157 | MC RAILROAD |
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