Roman, Robert
Roman, Robert is an sole proprietor health care provider with primary practice located at 139 Main St , Bethel MN 55005. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Roman, Robert can be contacted via phone (763) 269-8051.Contact Information
Primary practice address
139 Main St
Bethel MN 55005
Phone: (763) 269-8051
Fax: (763) 269-8051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1482 | Minnesota |
Profile Details
| NPI number | 1407147200 |
|---|---|
| LBN Legal business name | Roman, Robert |
| Credentials | M.AC. L.AC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2011 |
| Last updated | Apr 27th, 2011 - about 15 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 | 1407147200 | NPPES |
| Minnesota | MEDICAID | 633017700 |
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