Roark, Michelle L
Roark, Michelle L is an individual health care provider with primary practice located at 905C S Frontage Rd , Meridian MS 39301-6113. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Roark, Michelle L can be contacted via phone (601) 486-4210.Contact Information
Primary practice address
905C S Frontage Rd
Meridian MS 39301-6113
Phone: (601) 486-4210
Fax: (601) 482-4219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | A810516 | Mississippi |
Profile Details
| NPI number | 1164863262 |
|---|---|
| LBN Legal business name | Roark, Michelle L |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2013 |
| Last updated | Feb 18th, 2014 - about 12 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 | 1164863262 | NPPES |
| Mississippi | MEDICAID | 08106745 |
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