Roller, Katherine W

Roller, Katherine W is an individual health care provider with primary practice located at 1455 Montego Suite 104, Walnut Creek CA 94598-2990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roller, Katherine W can be contacted via phone (925) 946-1711.

Contact Information

Primary practice address
1455 Montego Suite 104 Walnut Creek CA 94598-2990
Phone: (925) 946-1711
Fax: (925) 946-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A62718 California

Profile Details

NPI number 1093755563
LBN Legal business name Roller, Katherine W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 21st, 2012 - about 14 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 1093755563 NPPES
California MEDICAID 00A627180

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