Roque, Aldrin Codilla
Roque, Aldrin Codilla is an sole proprietor health care provider with primary practice located at 2401 W. University Avenue , Muncie IN 47303. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Roque, Aldrin Codilla can be contacted via phone (765) 741-1515.Contact Information
Primary practice address
2401 W. University Avenue
Muncie IN 47303
Phone: (765) 741-1515
Fax: (765) 751-5087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01074559A | Indiana |
Profile Details
| NPI number | 1356608020 |
|---|---|
| LBN Legal business name | Roque, Aldrin Codilla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2012 |
| Last updated | Mar 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356608020 | NPPES |
| Indiana | Other | 256480040 | MEDICARE |
| Indiana | MEDICAID | 201090730 | MEDICARE |
| Indiana | MEDICAID | 200452010 | MEDICARE |
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