Roat, Steven

Roat, Steven is an individual health care provider with primary practice located at 5409 N Knoxville Ave , Peoria IL 61615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roat, Steven can be contacted via phone (309) 682-7750.

Contact Information

Primary practice address
5409 N Knoxville Ave Peoria IL 61615
Phone: (309) 682-7750
Fax: (309) 682-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1215915962
LBN Legal business name Roat, Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1215915962 NPPES
Illinois Other IL0100 JOHN DEERE
Illinois MEDICAID 036098574-2 JOHN DEERE
Illinois Other 417693 JOHN DEERE
Illinois Other 0007222342 JOHN DEERE
Illinois Other 3701083 JOHN DEERE

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