Page, Roger Dale

Page, Roger Dale is an individual health care provider with primary practice located at 508 Fulton St , Durham NC 27705-3875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Page, Roger Dale can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton St Durham NC 27705-3875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 100365 North Carolina

Profile Details

NPI number 1720057201
LBN Legal business name Page, Roger Dale
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 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.

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