Roels, Philip M

Roels, Philip M is an individual health care provider with primary practice located at 1601 Brenner Ave Eye Clinic (11I), Salisbury NC 28144-2515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roels, Philip M can be contacted via phone (704) 638-9000.

Contact Information

Primary practice address
1601 Brenner Ave Eye Clinic (11I) Salisbury NC 28144-2515
Phone: (704) 638-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1937 North Carolina

Profile Details

NPI number 1578548616
LBN Legal business name Roels, Philip M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Oct 17th, 2007 - 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 1578548616 NPPES
North Carolina Other 093R1 BCBS NC
North Carolina MEDICAID 89093R1 BCBS NC
North Carolina Other 7833605 BCBS NC

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