Roche, James J.

Roche, James J. is an individual health care provider with primary practice located at 225 Penn Ave , Scranton PA 18503-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roche, James J. can be contacted via phone (570) 342-1643.

Contact Information

Primary practice address
225 Penn Ave Scranton PA 18503-1921
Phone: (570) 342-1643
Fax: (570) 342-7119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD043662L Pennsylvania

Profile Details

NPI number 1164493748
LBN Legal business name Roche, James J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jan 27th, 2022 - about 2 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 1164493748 NPPES
Pennsylvania MEDICAID 0012453490001

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