Roque, Richard A

Roque, Richard A is an individual health care provider with primary practice located at 5503 Marvin Shields Blvd Sea Bee Base Clinic, Gulfport MS 39501. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Roque, Richard A can be contacted via phone (228) 871-2810.

Contact Information

Primary practice address
5503 Marvin Shields Blvd Sea Bee Base Clinic Gulfport MS 39501
Phone: (228) 871-2810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1760691810
LBN Legal business name Roque, Richard A
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 20th, 2008 - 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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