Roundy, Robert Benjamin

Roundy, Robert Benjamin is an individual health care provider with primary practice located at 1806 W Lincoln Ave , Yakima WA 98902-2473. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roundy, Robert Benjamin can be contacted via phone (509) 452-4520.

Contact Information

Primary practice address
1806 W Lincoln Ave Yakima WA 98902-2473
Phone: (509) 452-4520
Fax: (509) 452-5224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005168 Washington

Profile Details

NPI number 1871791582
LBN Legal business name Roundy, Robert Benjamin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated May 28th, 2015 - about 11 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 1871791582 NPPES
Washington Other 0258889 LABOR AND INDUSTRIES
Washington MEDICAID 8487837 LABOR AND INDUSTRIES

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