Roller, Leah
Roller, Leah is an individual health care provider with primary practice located at 1037 S Reed Rd , Kokomo IN 46902-1929. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roller, Leah can be contacted via phone (765) 868-9158.Contact Information
Primary practice address
1037 S Reed Rd
Kokomo IN 46902-1929
Phone: (765) 868-9158
Fax: (765) 868-9158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26021309A | Indiana |
Profile Details
| NPI number | 1366736498 |
|---|---|
| LBN Legal business name | Roller, Leah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jun 7th, 2011 - about 14 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 | 1366736498 | NPPES |
| Indiana | MEDICAID | INDIANA |
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