Roush, Paul Harold
Roush, Paul Harold is an individual health care provider with primary practice located at 137 S Livernois Rd , Rochester Hills MI 48307-1837. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roush, Paul Harold can be contacted via phone (248) 652-0600.Contact Information
Primary practice address
137 S Livernois Rd
Rochester Hills MI 48307-1837
Phone: (248) 652-0600
Fax: (248) 651-2661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002263 | Michigan |
Profile Details
| NPI number | 1962566927 |
|---|---|
| LBN Legal business name | Roush, Paul Harold |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962566927 | NPPES |
| Michigan | MEDICAID | 4879263 | |
| Michigan | Other | 0F36607 |
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