Roberts, Ann Elizabeth

Roberts, Ann Elizabeth is an individual health care provider with primary practice located at 1230 Market St , La Grange KY 40031-7986. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roberts, Ann Elizabeth can be contacted via phone (502) 225-6900.

Contact Information

Primary practice address
1230 Market St La Grange KY 40031-7986
Phone: (502) 225-6900
Fax: (502) 666-7693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26442 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KY26442 Kentucky

Profile Details

NPI number 1437145695
LBN Legal business name Roberts, Ann Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 5th, 2018 - about 8 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 1437145695 NPPES
Kentucky Other 3722091000 PASSPORT ADVANTAGE
Kentucky Other 000000617689 PASSPORT ADVANTAGE
Kentucky MEDICAID 64264427 PASSPORT ADVANTAGE
Kentucky Other 50024361 PASSPORT ADVANTAGE
Kentucky Other P00746838 PASSPORT ADVANTAGE

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