Gatlin, Roberta Lynn

Gatlin, Roberta Lynn is an individual health care provider with primary practice located at 930 Madison Ave Suite Ec013, Memphis TN 38163-2243. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gatlin, Roberta Lynn can be contacted via phone (901) 448-6438.

Contact Information

Primary practice address
930 Madison Ave Suite Ec013 Memphis TN 38163-2243
Phone: (901) 448-6438
Fax: (901) 448-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2026 Tennessee

Profile Details

NPI number 1881036598
LBN Legal business name Gatlin, Roberta Lynn
Credentials PT, PCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Jul 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881036598 NPPES
Tennessee Other 3133295 BCBS
Tennessee MEDICAID 0446645 BCBS

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