Tart, Roger P
Tart, Roger P is an individual health care provider with primary practice located at 5 Mobile Infirmary Cir , Mobile AL 36607-3513. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tart, Roger P can be contacted via phone (251) 460-0326.Contact Information
Primary practice address
5 Mobile Infirmary Cir
Mobile AL 36607-3513
Phone: (251) 460-0326
Fax: (251) 460-2846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17961 | Alabama |
Profile Details
| NPI number | 1902887615 |
|---|---|
| LBN Legal business name | Tart, Roger P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 31st, 2010 - about 15 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 | 1902887615 | NPPES |
| Alabama | MEDICAID | 000024416 |
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