Roman, Robert R

Roman, Robert R is an individual health care provider with primary practice located at 33200 W 14 Mile Rd Ste 130, West Bloomfield MI 48322-3549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roman, Robert R can be contacted via phone (248) 855-4144.

Contact Information

Primary practice address
33200 W 14 Mile Rd Ste 130 West Bloomfield MI 48322-3549
Phone: (248) 855-4144
Fax: (248) 855-9158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301036693 Michigan

Profile Details

NPI number 1144205402
LBN Legal business name Roman, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 3rd, 2008 - about 18 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 1144205402 NPPES
Michigan MEDICAID 2115779
Michigan Other 3506316331
Michigan Other F13738

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