Walcott, Roger
Walcott, Roger is an individual health care provider with primary practice located at 2121 Main St Suite 316, Buffalo NY 14214-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Walcott, Roger can be contacted via phone (716) 837-2400.Contact Information
Primary practice address
2121 Main St Suite 316
Buffalo NY 14214-2693
Phone: (716) 837-2400
Fax: (716) 837-3860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 254532-1 | New York |
Profile Details
| NPI number | 1992962302 |
|---|---|
| LBN Legal business name | Walcott, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2008 |
| Last updated | Feb 23rd, 2013 - about 11 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 | 1992962302 | NPPES |
| New York | MEDICAID | 03138965 |
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