Roach, Michael Brian

Roach, Michael Brian is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Roach, Michael Brian can be contacted via phone (951) 782-3701.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Phone: (951) 782-3701
Fax: (951) 784-3262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G39269 California

Profile Details

NPI number 1326022815
LBN Legal business name Roach, Michael Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 1st, 2011 - about 15 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 1326022815 NPPES
Other ZZZ31887Z GROUP SITE NUMBER

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