Gjertson, Robert Allan

Gjertson, Robert Allan is an individual health care provider with primary practice located at 6715 W 126Th Place , Oveland Park KS 66209-3230. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Gjertson, Robert Allan can be contacted via phone (651) 402-3558.

Contact Information

Primary practice address
6715 W 126Th Place Oveland Park KS 66209-3230
Phone: (651) 402-3558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 566 Minnesota
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 2012013991 Missouri
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 12-00393 Kansas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 566 Minnesota

Profile Details

NPI number 1992701544
LBN Legal business name Gjertson, Robert Allan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 4th, 2014 - about 10 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 1992701544 NPPES
Minnesota Other 971371012008 PREFERREDONE
Minnesota Other 21250174910 PREFERREDONE
Minnesota Other 465TOGJ PREFERREDONE
Minnesota Other 27-00450 PREFERREDONE
Minnesota Other P00141474 PREFERREDONE
Minnesota MEDICAID 278018600 PREFERREDONE
Minnesota Other 686485 PREFERREDONE
Minnesota Other 114036 PREFERREDONE
Minnesota Other 5836442 PREFERREDONE

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