Pool, Roberta Lee
Pool, Roberta Lee is an individual health care provider with primary practice located at 140 Bryan Blvd , Corbin KY 40701-2775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pool, Roberta Lee can be contacted via phone (606) 523-2005.Contact Information
Primary practice address
140 Bryan Blvd
Corbin KY 40701-2775
Phone: (606) 523-2005
Fax: (606) 523-9704
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4101P | Kentucky |
Profile Details
NPI number | 1194704049 |
---|---|
LBN Legal business name | Pool, Roberta Lee |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2006 |
Last updated | Nov 18th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194704049 | NPPES |
Kentucky | Other | 000000601701 | ANTHEM |
Kentucky | MEDICAID | 78010717 | ANTHEM |
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