Roche, Charles Lawrence
Roche, Charles Lawrence is an individual health care provider with primary practice located at Elm And Carlton St , Buffalo NY 14263-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roche, Charles Lawrence can be contacted via phone (716) 845-2300.Contact Information
Primary practice address
Elm And Carlton St
Buffalo NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-8818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 229224-1 | New York |
Profile Details
| NPI number | 1639168677 |
|---|---|
| LBN Legal business name | Roche, Charles Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639168677 | NPPES |
| New York | MEDICAID | 02556967 |
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