Roark, Roger Lee

Roark, Roger Lee is an sole proprietor health care provider with primary practice located at 555 Kitchings Dr Ste C , Statesville NC 28677-3576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roark, Roger Lee can be contacted via phone (704) 873-2516.

Contact Information

Primary practice address
555 Kitchings Dr Ste C Statesville NC 28677-3576
Phone: (704) 873-2516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20190 North Carolina

Profile Details

NPI number 1477596153
LBN Legal business name Roark, Roger Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jul 2nd, 2010 - about 16 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 1477596153 NPPES
North Carolina Other 71981 BCBS
North Carolina MEDICAID 79 71981 BCBS

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