Roff, Alisha Jilly

Roff, Alisha Jilly is an individual health care provider with primary practice located at 304 S. 22Nd Street , Temple TX 76501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roff, Alisha Jilly can be contacted via phone (254) 298-7041.

Contact Information

Primary practice address
304 S. 22Nd Street Temple TX 76501
Phone: (254) 298-7041
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02772 Texas

Profile Details

NPI number 1306807953
LBN Legal business name Roff, Alisha Jilly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 19th, 2018 - about 8 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 1306807953 NPPES
Texas MEDICAID 096692101

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