Surette, Roger

Surette, Roger is an sole proprietor health care provider with primary practice located at 302 El Camino Real #106, Sierra Vista AZ 85635. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Surette, Roger can be contacted via phone (520) 458-5105.

Contact Information

Primary practice address
302 El Camino Real #106 Sierra Vista AZ 85635
Phone: (520) 458-5105
Fax: (520) 459-2357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1091 Arizona

Profile Details

NPI number 1205875895
LBN Legal business name Surette, Roger
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jan 3rd, 2008 - 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 1205875895 NPPES
Arizona MEDICAID 782062
Arizona Other P00248760
Arizona Other 2X1712

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