EVAN ROUBAL
NPI 1043571904
Military Health Care Provider - Independent Duty Corpsman in Champlin, MN

Q: What is Evan Roubal's NPI number?

The NPI number for Evan Roubal is 1043571904. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Evan Roubal's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Evan Roubal was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2012

12054 MISSISSIPPI DR N, CHAMPLIN, MN 55316(760) 725-5298 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evan Roubal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN ROUBAL (NPI 1043571904) is an individual independent duty corpsman provider in Champlin, Minnesota and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1043571904

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameEVAN ROUBAL

Location Address12054 MISSISSIPPI DR NChamplin, MN 55316-2110

Mailing Address12054 Mississippi DriveChamplin, MN 55316 · (760) 725-5298

Phone(760) 725-5298

Sole ProprietorNo

Enumeration DateJune 6, 2012

✔ NPI 1043571904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

12054 MISSISSIPPI DR N, Champlin, MN 55316

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Roubal's NPI number?

The NPI number for Evan Roubal is 1043571904. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Evan Roubal located?

Evan Roubal practices at 12054 Mississippi Dr N, Champlin, MN 55316. The listed phone number is (760) 725-5298.

What is Evan Roubal's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Evan Roubal was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.