Roller, Alfred S.
Roller, Alfred S. is an sole proprietor health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roller, Alfred S. can be contacted via phone (509) 766-1301.Contact Information
Primary practice address
801 E Wheeler Rd
Moses Lake WA 98837-1820
Phone: (509) 766-1301
Fax: (509) 766-1306
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00020773 | Washington |
Profile Details
NPI number | 1497702500 |
---|---|
LBN Legal business name | Roller, Alfred S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 27th, 2006 |
Last updated | Dec 9th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497702500 | NPPES |
Washington | Other | 0228471 | LIWA |
Washington | Other | 2655RO | LIWA |
Washington | Other | 3076RO | LIWA |
Washington | MEDICAID | 1131200 | LIWA |
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