Roach, Lequita Tims

Roach, Lequita Tims is an individual health care provider with primary practice located at 2325 Sara Ln , Richmond VA 23224-2761. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Roach, Lequita Tims can be contacted via phone (804) 955-7134.

Contact Information

Primary practice address
2325 Sara Ln Richmond VA 23224-2761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 3552 Virginia

Profile Details

NPI number 1306580311
LBN Legal business name Roach, Lequita Tims
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2022
Last updated Apr 25th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306580311 NPPES
Virginia MEDICAID 3552

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