Roach, Sean Michael

Roach, Sean Michael is an individual health care provider with primary practice located at 494 Sw Veterans Way Ste 1 , Redmond OR 97756-6408. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Roach, Sean Michael can be contacted via phone (719) 373-5708.

Contact Information

Primary practice address
494 Sw Veterans Way Ste 1 Redmond OR 97756-6408
Phone: (719) 373-5708
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 04555 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1952381006
LBN Legal business name Roach, Sean Michael
Credentials PHD, PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 7th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952381006 NPPES
Oregon Other 8632629771 STATE OF OREGON

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