Woodrome, Roger Blair
Woodrome, Roger Blair is an sole proprietor health care provider with primary practice located at 4214 Lincolnshire Dr , Mount Vernon IL 62864-2156. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Woodrome, Roger Blair can be contacted via phone (618) 244-6912.Contact Information
Primary practice address
4214 Lincolnshire Dr
Mount Vernon IL 62864-2156
Phone: (618) 244-6912
Fax: (618) 244-7540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0190016705 | Illinois |
Profile Details
| NPI number | 1326169582 |
|---|---|
| LBN Legal business name | Woodrome, Roger Blair |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| 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.
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