Roan, Minda Unidad

Roan, Minda Unidad is an sole proprietor health care provider with primary practice located at 110 Nw 31St St Ste 201 , Lawton OK 73505-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roan, Minda Unidad can be contacted via phone (580) 585-5549.

Contact Information

Primary practice address
110 Nw 31St St Ste 201 Lawton OK 73505-6100
Fax: (580) 699-8223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA44814 New Jersey

Profile Details

NPI number 1477539740
LBN Legal business name Roan, Minda Unidad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated May 2nd, 2020 - 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 1477539740 NPPES
New Jersey MEDICAID 1536401

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