Roach, Justin T

Roach, Justin T is an individual health care provider with primary practice located at 2051 N State St , Iola KS 66749-1677. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Roach, Justin T can be contacted via phone (620) 380-6600.

Contact Information

Primary practice address
2051 N State St Iola KS 66749-1677
Phone: (620) 380-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-78756-082 Kansas

Profile Details

NPI number 1851950364
LBN Legal business name Roach, Justin T
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2019
Last updated Jun 13th, 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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