Roscoe, David Robert

Roscoe, David Robert is an sole proprietor health care provider with primary practice located at 45-1144 Kamehameha Hwy Suite # 402, Kaneohe HI 96744-3244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roscoe, David Robert can be contacted via phone (808) 234-1119.

Contact Information

Primary practice address
45-1144 Kamehameha Hwy Suite # 402 Kaneohe HI 96744-3244
Phone: (808) 234-1119
Fax: (808) 234-2373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 414 Hawaii

Profile Details

NPI number 1811094519
LBN Legal business name Roscoe, David Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811094519 NPPES
Hawaii MEDICAID 05992701

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