Mcroberts, Andrew W

Mcroberts, Andrew W is an individual health care provider with primary practice located at 777 Hospital Way Building A Suite 201, Pocatello ID 83201-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mcroberts, Andrew W can be contacted via phone (208) 239-2620.

Contact Information

Primary practice address
777 Hospital Way Building A Suite 201 Pocatello ID 83201-5175
Phone: (208) 239-2620
Fax: (208) 239-3778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M6814 Idaho

Profile Details

NPI number 1992799894
LBN Legal business name Mcroberts, Andrew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 19th, 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 1992799894 NPPES
Idaho MEDICAID 002768500

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