Roach, Richard R

Roach, Richard R is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roach, Richard R can be contacted via phone (269) 337-6300.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1282
Phone: (269) 337-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301041003 Michigan

Profile Details

NPI number 1073582524
LBN Legal business name Roach, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated May 25th, 2012 - about 14 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 1073582524 NPPES
Other 1103905261 BCBS
MEDICAID 4255518 BCBS

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