Roberts, Bennie Dwayne

Roberts, Bennie Dwayne is an individual health care provider with primary practice located at 415 N Center St Ste 201, Hickory NC 28601-5036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Roberts, Bennie Dwayne can be contacted via phone (828) 327-8105.

Contact Information

Primary practice address
415 N Center St Ste 201 Hickory NC 28601-5036
Phone: (828) 327-8105
Fax: (828) 327-4245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32958 North Carolina

Profile Details

NPI number 1750361960
LBN Legal business name Roberts, Bennie Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 6th, 2011 - about 13 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 1750361960 NPPES
North Carolina MEDICAID 8972079

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