Nash, Roger Wade

Nash, Roger Wade is an sole proprietor health care provider with primary practice located at 165 Waymont Court , Lake Mary FL 32746. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nash, Roger Wade can be contacted via phone (407) 321-3012.

Contact Information

Primary practice address
165 Waymont Court Lake Mary FL 32746
Phone: (407) 321-3012
Fax: (407) 321-9006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME30781 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30781 Florida

Profile Details

NPI number 1689732091
LBN Legal business name Nash, Roger Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Dec 14th, 2011 - about 14 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 1689732091 NPPES
Florida MEDICAID 252142300

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