Rozeboom, Victor A.

Rozeboom, Victor A. is an individual health care provider with primary practice located at 214 Carter St , Berryville AR 72616-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rozeboom, Victor A. can be contacted via phone (870) 423-3355.

Contact Information

Primary practice address
214 Carter St Berryville AR 72616-4303
Phone: (870) 423-3355
Fax: (870) 423-5233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R2954 Arkansas

Profile Details

NPI number 1285654913
LBN Legal business name Rozeboom, Victor A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 2007 - 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 1285654913 NPPES
Arkansas Other 54586 AR BLUE SHIELD #

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