Roach, Charles Andrew

Roach, Charles Andrew is an individual health care provider with primary practice located at 4921 Parkview Pl Div Neurology Neuromuscular, Ste 6C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Roach, Charles Andrew can be contacted via phone (314) 362-6981.

Contact Information

Primary practice address
4921 Parkview Pl Div Neurology Neuromuscular, Ste 6C Saint Louis MO 63110-1032
Fax: (314) 362-3752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2022005437 Missouri

Profile Details

NPI number 1588158570
LBN Legal business name Roach, Charles Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Apr 25th, 2024 - about last year

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 1588158570 NPPES
Missouri MEDICAID 200061242

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