Roach, Michael L

Roach, Michael L is an individual health care provider with primary practice located at 712 Aviation Way , Caldwell ID 83605-1154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roach, Michael L can be contacted via phone (208) 302-7100.

Contact Information

Primary practice address
712 Aviation Way Caldwell ID 83605-1154
Phone: (208) 302-7100
Fax: (208) 302-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD203385 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7815 Idaho

Profile Details

NPI number 1528004389
LBN Legal business name Roach, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 27th, 2025 - about last year

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 1528004389 NPPES
Idaho MEDICAID 805573200

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