Terri J Roark is a Medical in Philadelphia, Pennsylvania. Terri J Roark practices all healthcare services and medical treatments related to Medical. The NPI Number for Terri J Roark is 1750359154. The last update date is 2022-07-21.
Terri J Roark's current location address is Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania. You can contact this provider via phone number 8132818115 and fax number 8132818656. The mailing address for Terri J Roark is Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri J Roark |
|---|---|
| Address | Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania |
| Phone Number | 8132818115 |
| Fax Number | 8132818656 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750359154 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 8500 Lockbox 7642 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191787642 |
| Phone Number | 8132818115 |
| Fax Number | 8132818656 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10003201 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA10003201 | WA | LICENSE | |
| P00393503 | WA | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Terri J Roark by the Centers for Medicare & Medicaid Services (CMS)?
The Terri J Roark has been assigned the NPI (National Provider Identifier) 1750359154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Terri J Roark?
The Terri J Roark is situated at Po Box 8500 Lockbox 7642, in the city of Philadelphia, state of PA, with the zip code 191787642.
What is Terri J Roark's area of expertise and its corresponding taxonomy classification?
The Terri J Roark's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did the Terri J Roark receive its 1750359154?
The Terri J Roark was issued its 1750359154 on 2006-03-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Terri J Roark most recently updated or refreshed?
The details pertaining to the Terri J Roark, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.