Roach, Michael Justin

Roach, Michael Justin is an sole proprietor health care provider with primary practice located at 4411 Old Bullard Rd Ste 501 , Tyler TX 75703-1215. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Roach, Michael Justin can be contacted via phone (903) 630-5600.

Contact Information

Primary practice address
4411 Old Bullard Rd Ste 501 Tyler TX 75703-1215
Fax: (903) 630-5601
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 80319 Texas

Profile Details

NPI number 1124523907
LBN Legal business name Roach, Michael Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2018
Last updated Jul 2nd, 2019 - about 6 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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