Paige, Roger Dale
Paige, Roger Dale is an individual health care provider with primary practice located at 1230 N Duquesne Rd , Joplin MO 64801-1509. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Paige, Roger Dale can be contacted via phone (417) 782-1443.Contact Information
Primary practice address
1230 N Duquesne Rd
Joplin MO 64801-1509
Phone: (417) 782-1443
Fax: (417) 782-3240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 116659 | Missouri |
Profile Details
| NPI number | 1770582280 |
|---|---|
| LBN Legal business name | Paige, Roger Dale |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 22nd, 2014 - about 12 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 | 1770582280 | NPPES |
| Missouri | MEDICAID | 203871215 |
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