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
Fax: (509) 766-1306
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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