Spear, Roger Theodore
Spear, Roger Theodore is an individual health care provider with primary practice located at 1320 Wisconsin Ave Pain Management Program, Racine WI 53403-1978. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Spear, Roger Theodore can be contacted via phone (262) 687-8884.Contact Information
Primary practice address
1320 Wisconsin Ave Pain Management Program
Racine WI 53403-1978
Phone: (262) 687-8884
Fax: (262) 687-2836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13460-040 | Wisconsin |
Profile Details
| NPI number | 1942298351 |
|---|---|
| LBN Legal business name | Spear, Roger Theodore |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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