Roller, Katherine W
Roller, Katherine W is an individual health care provider with primary practice located at 1455 Montego Suite 104, Walnut Creek CA 94598-2990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roller, Katherine W can be contacted via phone (925) 946-1711.Contact Information
Primary practice address
1455 Montego Suite 104
Walnut Creek CA 94598-2990
Phone: (925) 946-1711
Fax: (925) 946-1902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A62718 | California |
Profile Details
| NPI number | 1093755563 |
|---|---|
| LBN Legal business name | Roller, Katherine W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 21st, 2012 - about 12 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 | 1093755563 | NPPES |
| California | MEDICAID | 00A627180 |
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