Roeder, Brent E

Roeder, Brent E is an individual health care provider with primary practice located at 720 Sw Lane St , Topeka KS 66606-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roeder, Brent E can be contacted via phone (785) 270-4800.

Contact Information

Primary practice address
720 Sw Lane St Topeka KS 66606-1539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 04-31241 Kansas

Profile Details

NPI number 1790794600
LBN Legal business name Roeder, Brent E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Apr 2nd, 2024 - about last year

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 1790794600 NPPES
Kansas Other 067329 MEDICARE PTAN
Kansas MEDICAID 200347420A MEDICARE PTAN

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