Roesch, Robert E
Roesch, Robert E is an sole proprietor health care provider with primary practice located at 553 N Broad St , Fremont NE 68025-4930. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roesch, Robert E can be contacted via phone (402) 727-7331.Contact Information
Primary practice address
553 N Broad St
Fremont NE 68025-4930
Phone: (402) 727-7331
Fax: (402) 727-7675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4720 | Nebraska |
Profile Details
| NPI number | 1528072568 |
|---|---|
| LBN Legal business name | Roesch, Robert E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Apr 21st, 2016 - about 10 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 | 1528072568 | NPPES |
| Nebraska | MEDICAID | 47068719000 | |
| Nebraska | Other | 4720 | |
| Nebraska | Other | 470687190 |
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