Nomura, Roy M.Y.
Nomura, Roy M.Y. is an individual health care provider with primary practice located at 1270 Mercantile Dr , Highland IL 62249-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Nomura, Roy M.Y. can be contacted via phone (618) 651-8097.Contact Information
Primary practice address
1270 Mercantile Dr
Highland IL 62249-1256
Phone: (618) 651-8097
Fax: (618) 651-8097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 036043088 | Illinois |
Profile Details
| NPI number | 1720063217 |
|---|---|
| LBN Legal business name | Nomura, Roy M.Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 22nd, 2008 - about 16 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 | 1720063217 | NPPES |
| Illinois | Other | CK0761 | RR MEDICARE PIN |
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