Roehm, John Michael

Roehm, John Michael is an individual health care provider with primary practice located at 688 Baldwin Ave , Defuniak Springs FL 32435-2596. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Roehm, John Michael can be contacted via phone (850) 892-5612.

Contact Information

Primary practice address
688 Baldwin Ave Defuniak Springs FL 32435-2596
Phone: (850) 892-5612
Fax: (850) 892-5089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH000185 Florida

Profile Details

NPI number 1346262367
LBN Legal business name Roehm, John Michael
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 6th, 2015 - about 9 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 1346262367 NPPES
Florida Other 104725601 MEDICAID DME
Florida MEDICAID 104725600 MEDICAID DME

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