Roodbergen, Richard

Roodbergen, Richard is an individual health care provider with primary practice located at 3452 Genesys Pkwy , Grand Blanc MI 48439-7334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roodbergen, Richard can be contacted via phone (810) 603-0170.

Contact Information

Primary practice address
3452 Genesys Pkwy Grand Blanc MI 48439-7334
Phone: (810) 603-0170
Fax: (810) 579-1705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003058 Michigan

Profile Details

NPI number 1538191176
LBN Legal business name Roodbergen, Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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