Roark, Neva Jane
Roark, Neva Jane is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Roark, Neva Jane can be contacted via phone (256) 533-1970.Contact Information
Primary practice address
4040 Memorial Pkwy Sw
Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 705-6477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12353 | Alabama |
Profile Details
| NPI number | 1730154717 |
|---|---|
| LBN Legal business name | Roark, Neva Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730154717 | NPPES |
| Alabama | MEDICAID | 153128 |
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