Roberts, Ava J

Roberts, Ava J is an individual health care provider with primary practice located at 175 S Union Blvd Ste 305 , Colorado Springs CO 80910-3126. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Roberts, Ava J can be contacted via phone (719) 365-6881.

Contact Information

Primary practice address
175 S Union Blvd Ste 305 Colorado Springs CO 80910-3126
Phone: (719) 365-6881
Fax: (719) 365-6877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1188 Virgin Islands
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC004676R Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 721 Colorado

Profile Details

NPI number 1467451583
LBN Legal business name Roberts, Ava J
Credentials PODIATRIST DPM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 24th, 2021 - about 3 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 1467451583 NPPES
New Mexico MEDICAID 64226778

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