Roman, Robert R
Roman, Robert R is an individual health care provider with primary practice located at 33200 W 14 Mile Rd Ste 130, West Bloomfield MI 48322-3549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roman, Robert R can be contacted via phone (248) 855-4144.Contact Information
Primary practice address
33200 W 14 Mile Rd Ste 130
West Bloomfield MI 48322-3549
Phone: (248) 855-4144
Fax: (248) 855-9158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301036693 | Michigan |
Profile Details
NPI number | 1144205402 |
---|---|
LBN Legal business name | Roman, Robert R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2005 |
Last updated | Jun 3rd, 2008 - about 16 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 | 1144205402 | NPPES |
Michigan | MEDICAID | 2115779 | |
Michigan | Other | 3506316331 | |
Michigan | Other | F13738 |
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