Roark, Richard D.
Roark, Richard D. is an individual health care provider with primary practice located at 10350 E Dakota Ave , Denver CO 80247-1314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Roark, Richard D. can be contacted via phone (303) 367-2800.Contact Information
Primary practice address
10350 E Dakota Ave
Denver CO 80247-1314
Phone: (303) 367-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 16937 | Colorado |
Profile Details
| NPI number | 1821296872 |
|---|---|
| LBN Legal business name | Roark, Richard D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Apr 6th, 2011 - about 13 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 | 1821296872 | NPPES |
| Colorado | MEDICAID | 01169374 |
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