Roeder, Brett

Roeder, Brett is an individual health care provider with primary practice located at 1501 N Gilbert Rd Ste 120 , Gilbert AZ 85234-2393. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Roeder, Brett can be contacted via phone (480) 507-7560.

Contact Information

Primary practice address
1501 N Gilbert Rd Ste 120 Gilbert AZ 85234-2393
Phone: (480) 507-7560
Fax: (480) 507-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0497 Arizona

Profile Details

NPI number 1134116700
LBN Legal business name Roeder, Brett
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jun 20th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134116700 NPPES
Arizona MEDICAID 1231210001
Arizona MEDICAID 919110
Arizona Other AZ0195600

Popular Providers