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Mr. Roger Earl Locke
Durable Medical Equipment & Medical Supplies in San Jose, California
NPI 1386708766

Roger Earl Locke is a Durable Medical Equipment & Medical Supplies based in San Jose, CA. Roger Earl Locke practices in San Jose, CA. The NPI Number for Roger Earl Locke is 1386708766 and holds a License No. SR GH 26792253 (California).

The current practice location address for Roger Earl Locke is 75 Phelan Ave, San Jose, CA and can be reached out via phone at 408-279-3955 and via fax at 408-259-4350.

Location: 75 Phelan Ave, San Jose, CA, 95112-6120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386708766
Provider Name
Roger Earl Locke
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 Phelan Ave, San Jose, CA, 95112-6120
Phone Number
408-279-3955
Fax Number
408-259-4350
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SR GH 26792253 01 CA SELLER'S PERMIT
institution
Provider Business Practice Location Address Details
Address
75 Phelan Ave
City
San Jose
State
California
Zip
95112-6120
Phone Number
408-279-3955
Fax Number
408-259-4350
person
Provider Business Mailing Address Details
Address
75 Phelan Ave
City
San Jose
State
California
Zip
95112-6120
Phone Number
408-279-3955
Fax Number
408-259-4350
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
SR GH 26792253 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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