Provider Demographics
NPI:1225864317
Name:ROHR, JOSEPH C
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:ROHR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:NOBLE
Mailing Address - State:OK
Mailing Address - Zip Code:73068-0499
Mailing Address - Country:US
Mailing Address - Phone:405-872-3452
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 499
Practice Address - Street 2:
Practice Address - City:NOBLE
Practice Address - State:OK
Practice Address - Zip Code:73068-0499
Practice Address - Country:US
Practice Address - Phone:405-872-3452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP1600X, 373H00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist