Roach, Martin G
Roach, Martin G is an sole proprietor health care provider with primary practice located at 7667 Al Highway 51 Ste B , Opelika AL 36804-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roach, Martin G can be contacted via phone (334) 737-5557.Contact Information
Primary practice address
7667 Al Highway 51 Ste B
Opelika AL 36804-2200
Phone: (334) 737-5557
Fax: (334) 727-5646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO866 | Alabama |
Profile Details
| NPI number | 1043316466 |
|---|---|
| LBN Legal business name | Roach, Martin G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Apr 22nd, 2019 - about 7 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 | 1043316466 | NPPES |
| Other | 263751277 | TRICARE | |
| Other | 51595037 | TRICARE |
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