Roeder, Brian

Roeder, Brian is an individual health care provider with primary practice located at 301 Hospital Dr Suite 803, Glen Burnie MD 21061-5803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Roeder, Brian can be contacted via phone (410) 553-8160.

Contact Information

Primary practice address
301 Hospital Dr Suite 803 Glen Burnie MD 21061-5803
Phone: (410) 553-8160
Fax: (410) 553-8159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C00624 Maryland

Profile Details

NPI number 1023034170
LBN Legal business name Roeder, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 9th, 2015 - about 10 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 1023034170 NPPES
Maryland Other 236285 KAISER PERM
Maryland Other 75551 KAISER PERM

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