Roeback, Woodrow Anthony

Roeback, Woodrow Anthony is an sole proprietor health care provider with primary practice located at 241 W Quail Dr , Palmdale CA 93551-2943. He recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Roeback, Woodrow Anthony can be contacted via phone (702) 917-9309.

Contact Information

Primary practice address
241 W Quail Dr Palmdale CA 93551-2943
Phone: (702) 917-9309
Fax: (702) 255-7171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X NV20131237531 Nevada
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CP0182 Nevada

Profile Details

NPI number 1356681241
LBN Legal business name Roeback, Woodrow Anthony
Credentials CPC, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2013
Last updated Feb 23rd, 2021 - about 3 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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