Roark, Anthony

Roark, Anthony is an sole proprietor health care provider with primary practice located at 401 S Queen St , Martinsburg WV 25401-3233. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Roark, Anthony can be contacted via phone (304) 264-5055.

Contact Information

Primary practice address
401 S Queen St Martinsburg WV 25401-3233
Phone: (304) 264-5055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2501 West Virginia

Profile Details

NPI number 1184899627
LBN Legal business name Roark, Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 17 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 1184899627 NPPES
West Virginia MEDICAID 7404027000

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