Roof, Robert Ansley

Roof, Robert Ansley is an sole proprietor health care provider with primary practice located at 3421 West 9Th St , Waterloo IA 50702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roof, Robert Ansley can be contacted via phone (800) 458-5003.

Contact Information

Primary practice address
3421 West 9Th St Waterloo IA 50702
Phone: (800) 458-5003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02246 Iowa

Profile Details

NPI number 1164526349
LBN Legal business name Roof, Robert Ansley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2006
Last updated Aug 19th, 2009 - about 15 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 1164526349 NPPES
Iowa MEDICAID 1164526349
Iowa Other 1164526349

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