Kern, Roger M.
Kern, Roger M. is an individual health care provider with primary practice located at 564 N Idaho Rd , Apache Junction AZ 85219-4001. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kern, Roger M. can be contacted via phone (480) 288-5328.Contact Information
Primary practice address
564 N Idaho Rd
Apache Junction AZ 85219-4001
Phone: (480) 288-5328
Fax: (480) 288-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC 10208 | Arizona |
Profile Details
| NPI number | 1811045420 |
|---|---|
| LBN Legal business name | Kern, Roger M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1811045420 | NPPES |
| Arizona | MEDICAID | 164397 |
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