Roberts, Carl Ray

Roberts, Carl Ray is an sole proprietor health care provider with primary practice located at 1856 E Innovation Park Dr , Oro Valley AZ 85755-1963. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Roberts, Carl Ray can be contacted via phone (520) 825-7111.

Contact Information

Primary practice address
1856 E Innovation Park Dr Oro Valley AZ 85755-1963
Phone: (520) 825-7111
Fax: (520) 818-1253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25852 Arizona

Profile Details

NPI number 1770582207
LBN Legal business name Roberts, Carl Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated May 13th, 2015 - about 10 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 1770582207 NPPES
Arizona MEDICAID 400648003

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