Root, John C

Root, John C is an individual health care provider with primary practice located at 1202 Fm 3036 , Rockport TX 78382-7798. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Root, John C can be contacted via phone (361) 729-0133.

Contact Information

Primary practice address
1202 Fm 3036 Rockport TX 78382-7798
Phone: (361) 729-0133
Fax: (361) 729-0855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P1136 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20046 Oklahoma

Profile Details

NPI number 1871589341
LBN Legal business name Root, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 18th, 2023 - about last year

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 1871589341 NPPES
Other 080115102 RAILROAD MEDICARE
MEDICAID 100126830B RAILROAD MEDICARE
Other 347459101 RAILROAD MEDICARE
Other 5008436 RAILROAD MEDICARE
MEDICAID 100126830A RAILROAD MEDICARE

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