Roe, David P

Roe, David P is an individual health care provider with primary practice located at 301 Med Tech Pkwy , Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Roe, David P can be contacted via phone (423) 794-5500.

Contact Information

Primary practice address
301 Med Tech Pkwy Johnson City TN 37604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 7106 Tennessee

Profile Details

NPI number 1417952656
LBN Legal business name Roe, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 26th, 2008 - about 17 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 1417952656 NPPES
Tennessee MEDICAID 3173970

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