Roulier, Rachelle Marie
Roulier, Rachelle Marie is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roulier, Rachelle Marie can be contacted via phone (541) 773-3863.Contact Information
Primary practice address
19 Myrtle St
Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 776-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 19601 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1558531921 |
|---|---|
| LBN Legal business name | Roulier, Rachelle Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2008 |
| Last updated | Mar 7th, 2012 - about 12 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 | 1558531921 | NPPES |
| Oregon | MEDICAID | 227698 |
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