Valliere, Roger Paul
Valliere, Roger Paul is an sole proprietor health care provider with primary practice located at 1330 E State Blvd , Fort Wayne IN 46805-4422. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Valliere, Roger Paul can be contacted via phone (260) 484-5614.Contact Information
Primary practice address
1330 E State Blvd
Fort Wayne IN 46805-4422
Phone: (260) 484-5614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010249A | Indiana |
Profile Details
| NPI number | 1013116706 |
|---|---|
| LBN Legal business name | Valliere, Roger Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jun 29th, 2017 - about 8 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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