Roberson, Lois Carol
Roberson, Lois Carol is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Gastroenterology, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Roberson, Lois Carol can be contacted via phone (414) 266-3690.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Gastroenterology
Milwaukee WI 53226-4874
Phone: (414) 266-3690
Fax: (414) 266-3676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 2076 | Wisconsin |
Profile Details
| NPI number | 1942244058 |
|---|---|
| LBN Legal business name | Roberson, Lois Carol |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 6th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942244058 | NPPES |
| Wisconsin | MEDICAID | 1942244058 | |
| Wisconsin | MEDICAID | 73601 2378 |
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