Roller, Stephen Joseph

Roller, Stephen Joseph is an individual health care provider with primary practice located at 210 S 2Nd St , Hamilton OH 45011-2811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Roller, Stephen Joseph can be contacted via phone (513) 454-1111.

Contact Information

Primary practice address
210 S 2Nd St Hamilton OH 45011-2811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.10797-NP Ohio

Profile Details

NPI number 1275763831
LBN Legal business name Roller, Stephen Joseph
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Aug 30th, 2021 - about 3 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 1275763831 NPPES
Ohio MEDICAID 3027450

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