Roets, Timothy Broderick
Roets, Timothy Broderick is an sole proprietor health care provider with primary practice located at 92 Elm St , Westfield NY 14787-1436. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roets, Timothy Broderick can be contacted via phone (716) 326-2232.Contact Information
Primary practice address
92 Elm St
Westfield NY 14787-1436
Phone: (716) 326-2232
Fax: (716) 326-2236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049634 | New York |
Profile Details
| NPI number | 1093809345 |
|---|---|
| LBN Legal business name | Roets, Timothy Broderick |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093809345 | NPPES |
| New York | MEDICAID | 02208693 |
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