Roque, Joey Edward
Roque, Joey Edward is an sole proprietor health care provider with primary practice located at 4070 Highway 17 , Murrells Inlet SC 29576-5033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Roque, Joey Edward can be contacted via phone (843) 652-1415.Contact Information
Primary practice address
4070 Highway 17
Murrells Inlet SC 29576-5033
Phone: (843) 652-1415
Fax: (843) 366-4387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 81712 | South Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 41492 | Tennessee |
Profile Details
| NPI number | 1396847448 |
|---|---|
| LBN Legal business name | Roque, Joey Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 31st, 2019 - about 6 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 | 1396847448 | NPPES |
| South Carolina | Other | 81712 | STATE OF SOUTH CAROLINA MEDICAL LICENSE |
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