Roller Weight Loss Institute,Inc.
LBN: Roller Weight Loss Institute,Inc.
Roller Weight Loss Institute,Inc. is an health care organization with primary practice located at 1695 E Rainforest Rd , Fayetteville AR 72703-5385. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is the primary health care specialty.
Roller Weight Loss Institute,Inc. can be contacted via phone (479) 445-6460, or through Roller, Joshua Ernest via phone (479) 445-6460.
Contact Information
Primary practice address
1695 E Rainforest Rd
Fayetteville AR 72703-5385
Phone: (479) 445-6460
Fax: (479) 445-6719
Website:
Authorized official contact:
Name: Roller, Joshua Ernest Doctor of Medicine (MD)
Phone: (479) 445-6460
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E5193 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1073743399 |
|---|---|
| LBN Legal business name | Roller Weight Loss Institute,Inc. |
| DBA Doing business as | |
| Authorized official | Roller, Joshua Ernest Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Aug 6th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073743399 | NPPES |
| Oklahoma | MEDICAID | 200624510A | |
| Oklahoma | MEDICAID | 211552002 |
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