Gerson, Roberta Beverly

Gerson, Roberta Beverly is an individual health care provider with primary practice located at 2 Livewell Dr Goodall Occupational Health Center, Kennebunk ME 04043-6762. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Gerson, Roberta Beverly can be contacted via phone (207) 490-7801.

Contact Information

Primary practice address
2 Livewell Dr Goodall Occupational Health Center Kennebunk ME 04043-6762
Phone: (207) 490-7801
Fax: (207) 604-1018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 1232 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1232 Maine

Profile Details

NPI number 1023176823
LBN Legal business name Gerson, Roberta Beverly
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Mar 7th, 2023 - about 2 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 1023176823 NPPES
Maine Other 1232 STATE LICENSE NUMBER

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