Roesch, Kerri E

Roesch, Kerri E is an sole proprietor health care provider with primary practice located at 34 Commerce Ave Ste 2 , Riverhead NY 11901-3118. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Roesch, Kerri E can be contacted via phone (631) 722-8880.

Contact Information

Primary practice address
34 Commerce Ave Ste 2 Riverhead NY 11901-3118
Phone: (631) 722-8880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004218 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014424-1 New York

Profile Details

NPI number 1285934562
LBN Legal business name Roesch, Kerri E
Credentials RPAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2010
Last updated May 16th, 2019 - about 6 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 1285934562 NPPES
New York MEDICAID 03314707

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