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
Phone: (815) 391-7800
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578536207 | NPPES |
Wisconsin | Other | ROBERANN | MERCYCARE INSURANCE |
Wisconsin | MEDICAID | 036114499 | MERCYCARE INSURANCE |
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