Roach, Phongphan
Roach, Phongphan is an individual health care provider with primary practice located at 2980 Centreville Rd , Herndon VA 20171-6254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Roach, Phongphan can be contacted via phone (703) 994-4561.Contact Information
Primary practice address
2980 Centreville Rd
Herndon VA 20171-6254
Phone: (703) 994-4561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 0131001567 | Virginia |
Profile Details
| NPI number | 1326558925 |
|---|---|
| LBN Legal business name | Roach, Phongphan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2017 |
| Last updated | Oct 9th, 2017 - about 8 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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