Roach, Philip M

Roach, Philip M is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roach, Philip M can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002469 Connecticut

Profile Details

NPI number 1992005599
LBN Legal business name Roach, Philip M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2010
Last updated Oct 5th, 2015 - about 9 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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