Roos, Richard G
Roos, Richard G is an sole proprietor health care provider with primary practice located at 131 Kercheval Ave Suite #110, Grosse Pointe Farms MI 48236-3629. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Roos, Richard G can be contacted via phone (313) 640-2591.Contact Information
Primary practice address
131 Kercheval Ave Suite #110
Grosse Pointe Farms MI 48236-3629
Phone: (313) 640-2591
Fax: (313) 640-2589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302026812 | Michigan |
Profile Details
| NPI number | 1457453706 |
|---|---|
| LBN Legal business name | Roos, Richard G |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457453706 | NPPES |
| Michigan | Other | 5302026812 | PHARMACIST LICENSE |
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