Pasternak, Roger James

Pasternak, Roger James is an sole proprietor health care provider with primary practice located at 412 Chatham Square Office Park , Fredericksburg VA 22405-2561. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pasternak, Roger James can be contacted via phone (540) 899-9826.

Contact Information

Primary practice address
412 Chatham Square Office Park Fredericksburg VA 22405-2561
Fax: (540) 373-3913
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810001018 Virginia

Profile Details

NPI number 1992735971
LBN Legal business name Pasternak, Roger James
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1992735971 NPPES
Virginia MEDICAID 7707657

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