Roberson, Violet

Roberson, Violet is an individual health care provider with primary practice located at 1215 N Alpine Rd , Rockford IL 61107-2201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roberson, Violet can be contacted via phone (815) 391-7800.

Contact Information

Primary practice address
1215 N Alpine Rd Rockford IL 61107-2201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036114499 Illinois
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036114499 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54043 Wisconsin

Profile Details

NPI number 1578536207
LBN Legal business name Roberson, Violet
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 25th, 2016 - about 9 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 1578536207 NPPES
Wisconsin Other ROBERANN MERCYCARE INSURANCE
Wisconsin MEDICAID 036114499 MERCYCARE INSURANCE

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