Robles, Roman
Robles, Roman is an sole proprietor health care provider with primary practice located at 10 E Martin Luther King Jr. , Stockton CA 95206. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Robles, Roman can be contacted via phone (208) 819-9759.Contact Information
Primary practice address
10 E Martin Luther King Jr.
Stockton CA 95206
Phone: (208) 819-9759
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | AC 10537 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12500 | California |
Profile Details
NPI number | 1053533117 |
---|---|
LBN Legal business name | Robles, Roman |
Credentials | L.AC., P.A. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2007 |
Last updated | Apr 22nd, 2010 - about 15 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 | 1053533117 | NPPES |
California | Other | PA12500 | PHYSICAN ASSISTANT |
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