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Evan Roubal
NPI 1043571904 · Independent Duty Corpsman · Champlin, MN
Evan Roubal is a Independent Duty Corpsman provider in Champlin, MN (NPI 1043571904).
Provider details
- NPI number
- 1043571904
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12054 Mississippi Dr N
Champlin, MN 55316-2110
Phone: (760) 725-5298
Street-level locationGet directions
Mailing address
12054 Mississippi Drive
Champlin, MN 55316
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2012-06-06
Frequently asked questions
- What is Evan Roubal's NPI number?
- Evan Roubal's National Provider Identifier (NPI) is 1043571904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Roubal's specialty?
- Evan Roubal is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Evan Roubal located?
- Evan Roubal's practice location on file with NPPES is 12054 Mississippi Dr N, Champlin, MN 55316-2110.
- What is Evan Roubal's phone number?
- The practice phone number listed in the NPPES registry for Evan Roubal is (760) 725-5298.
- Is Evan Roubal's NPI active?
- Yes — Evan Roubal's NPI (1043571904) is active in the NPPES registry as of the last update on 2012-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.