Roberson, Jennifer
Roberson, Jennifer is an individual health care provider with primary practice located at 324 N Queen Street , Kinston NC 28501-4932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roberson, Jennifer can be contacted via phone (252) 522-9800.Contact Information
Primary practice address
324 N Queen Street
Kinston NC 28501-4932
Phone: (252) 522-9800
Fax: (252) 523-9790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200401567 | North Carolina |
Profile Details
| NPI number | 1043211998 |
|---|---|
| LBN Legal business name | Roberson, Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Oct 4th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043211998 | NPPES |
| North Carolina | MEDICAID | 5900437 |
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