Roache, Gavin

Roache, Gavin is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Roache, Gavin can be contacted via phone (717) 782-3131.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Phone: (717) 782-3131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP021669 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11004127 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP021669 Pennsylvania

Profile Details

NPI number 1023425600
LBN Legal business name Roache, Gavin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2014
Last updated Apr 16th, 2021 - about 5 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 1023425600 NPPES
Florida MEDICAID 016388100

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