Roach, John Michael
Roach, John Michael is an individual health care provider with primary practice located at 811 S Auburn , Kennewick WA 99336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roach, John Michael can be contacted via phone (509) 586-9187.Contact Information
Primary practice address
811 S Auburn
Kennewick WA 99336
Phone: (509) 586-9187
Fax: (509) 586-7092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 025209MD00014731 | Washington |
Profile Details
| NPI number | 1417930421 |
|---|---|
| LBN Legal business name | Roach, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417930421 | NPPES |
| Washington | MEDICAID | 1063429 |
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