Roach, Griffith Mark

Roach, Griffith Mark is an sole proprietor health care provider with primary practice located at 109 S 9Th St Apt 101 , Broken Arrow OK 74012-4227. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Roach, Griffith Mark can be contacted via phone (918) 982-1973.

Contact Information

Primary practice address
109 S 9Th St Apt 101 Broken Arrow OK 74012-4227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1679359491
LBN Legal business name Roach, Griffith Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2023
Last updated Sep 6th, 2023 - about 3 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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