Roark, Brent Alexander
Roark, Brent Alexander is an sole proprietor health care provider with primary practice located at 1000 Vermillion St , Athens WV 24712-9027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Roark, Brent Alexander can be contacted via phone (304) 384-6320.Contact Information
Primary practice address
1000 Vermillion St
Athens WV 24712-9027
Phone: (304) 384-6320
Fax: (304) 384-5117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001370 | West Virginia |
Profile Details
| NPI number | 1083121917 |
|---|---|
| LBN Legal business name | Roark, Brent Alexander |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2017 |
| Last updated | Dec 31st, 2017 - about 7 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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