Royal, Roderick

Royal, Roderick is an sole proprietor health care provider with primary practice located at 9428 Brookline Ave Ste 2 , Baton Rouge LA 70809-1428. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Royal, Roderick can be contacted via phone (504) 444-3329.

Contact Information

Primary practice address
9428 Brookline Ave Ste 2 Baton Rouge LA 70809-1428
Phone: (504) 444-3329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana

Profile Details

NPI number 1396275152
LBN Legal business name Royal, Roderick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2017
Last updated Jul 21st, 2022 - about 4 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 1396275152 NPPES
Louisiana MEDICAID 743219772

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