Roeske, Richmond Emmerson

Roeske, Richmond Emmerson is an sole proprietor health care provider with primary practice located at 555 N 13Th Ave , Upland CA 91786-4904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roeske, Richmond Emmerson can be contacted via phone (909) 982-8846.

Contact Information

Primary practice address
555 N 13Th Ave Upland CA 91786-4904
Fax: (909) 949-3967
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A64048 California

Profile Details

NPI number 1720009913
LBN Legal business name Roeske, Richmond Emmerson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated May 2nd, 2023 - 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 1720009913 NPPES
California MEDICAID 00A640480

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