Roberts, Andy A
Roberts, Andy A is an individual health care provider with primary practice located at 109 E Church St , Greeneville TN 37745-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Andy A can be contacted via phone (423) 638-4131.Contact Information
Primary practice address
109 E Church St
Greeneville TN 37745-5603
Phone: (423) 638-4131
Fax: (423) 638-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26381 | Tennessee |
Profile Details
| NPI number | 1013900943 |
|---|---|
| LBN Legal business name | Roberts, Andy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Apr 25th, 2024 - about 8 months 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 | 1013900943 | NPPES |
| Tennessee | Other | 3005285 | BC BS TN |
| Tennessee | MEDICAID | 3089112 | BC BS TN |
| Tennessee | Other | 7 | BC BS TN |
| Tennessee | Other | 3005285 | BC BS TN |
| Tennessee | Other | 00006415 | BC BS TN |
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