Misasi, Roger Patrick

Misasi, Roger Patrick is an individual health care provider with primary practice located at 1606 N Broadway St , Pittsburg KS 66762-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Misasi, Roger Patrick can be contacted via phone (620) 308-7251.

Contact Information

Primary practice address
1606 N Broadway St Pittsburg KS 66762-3022
Phone: (620) 308-7251
Fax: (620) 308-7250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0520199 Kansas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 05-20199 Kansas

Profile Details

NPI number 1225063845
LBN Legal business name Misasi, Roger Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 1st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225063845 NPPES
Missouri MEDICAID 200013415
Missouri MEDICAID 30004369010001

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