Roberson, Nicole Marie Hannon
Roberson, Nicole Marie Hannon is an individual health care provider with primary practice located at 1107 S Lemay Avenue Suite 300, Fort Collins CO 80524-3955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Roberson, Nicole Marie Hannon can be contacted via phone (970) 493-7442.Contact Information
Primary practice address
1107 S Lemay Avenue Suite 300
Fort Collins CO 80524-3955
Phone: (970) 493-7442
Fax: (970) 493-7442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 47447 | Colorado |
Profile Details
| NPI number | 1558330266 |
|---|---|
| LBN Legal business name | Roberson, Nicole Marie Hannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 10th, 2020 - about 5 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 | 1558330266 | NPPES |
| Indiana | Other | 11485755 | CAQH NUMBER |
| Indiana | Other | 000000372082 | CAQH NUMBER |
| Indiana | MEDICAID | 200528800 | CAQH NUMBER |
| Indiana | Other | 9397429 | CAQH NUMBER |
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