Roose, Robert J

Roose, Robert J is an sole proprietor health care provider with primary practice located at 1233 Main St , Holyoke MA 01040-5381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Roose, Robert J can be contacted via phone (413) 493-2085.

Contact Information

Primary practice address
1233 Main St Holyoke MA 01040-5381
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 246743 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 255329 Massachusetts

Profile Details

NPI number 1932370178
LBN Legal business name Roose, Robert J
Credentials M.D. M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2008
Last updated Feb 11th, 2014 - about 12 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 1932370178 NPPES
New York MEDICAID 00245643

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