Roller, Rick J

Roller, Rick J is an individual health care provider with primary practice located at 125 E Southern Ave Ste 120 , Muskegon MI 49442-5041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Roller, Rick J can be contacted via phone (231) 672-4950.

Contact Information

Primary practice address
125 E Southern Ave Ste 120 Muskegon MI 49442-5041
Fax: (231) 672-5519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101027176 Michigan

Profile Details

NPI number 1588224083
LBN Legal business name Roller, Rick J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 29th, 2023 - about 3 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 1588224083 NPPES
Michigan MEDICAID 1588224083

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