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
Phone: (903) 630-5600
Fax: (903) 630-5601
Website:
Health care specialties
Specialty | Code | License # | 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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