Roach, Donald Michael

Roach, Donald Michael is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roach, Donald Michael can be contacted via phone (740) 446-5238.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5238
Fax: (740) 441-8058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.9133-NA Ohio

Profile Details

NPI number 1376626507
LBN Legal business name Roach, Donald Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 25th, 2020 - about 4 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 1376626507 NPPES
Other 001917039 MOUNTAIN STATE BCBS
MEDICAID 2701446 MOUNTAIN STATE BCBS
MEDICAID 3810007256 MOUNTAIN STATE BCBS
Other 000000497528 MOUNTAIN STATE BCBS
Other P00356781 MOUNTAIN STATE BCBS

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