Smith, Roger Kenneth

Smith, Roger Kenneth is an individual health care provider with primary practice located at 835 Houston Run Dr , Gap PA 17527-9489. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Smith, Roger Kenneth can be contacted via phone (717) 442-9577.

Contact Information

Primary practice address
835 Houston Run Dr Gap PA 17527-9489
Fax: (717) 442-9672
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1023395241
LBN Legal business name Smith, Roger Kenneth
Credentials MDIV
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - about 14 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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