Roberts, Bruce E

Roberts, Bruce E is an individual health care provider with primary practice located at 5345 Highway 18 W , Jackson MS 39209-9421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Roberts, Bruce E can be contacted via phone (601) 924-5007.

Contact Information

Primary practice address
5345 Highway 18 W Jackson MS 39209-9421
Phone: (601) 924-5007
Fax: (601) 923-9921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 09179 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 09179 Mississippi

Profile Details

NPI number 1770570038
LBN Legal business name Roberts, Bruce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jan 28th, 2008 - about 17 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 1770570038 NPPES
Mississippi Other C48217 DR

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